ROBERT L MIRACLE, DMD, PC
NPI 1053635615
Clinic/Center - Dental in Lawton, OK

Active since March 25, 2010
1810 NW FERRIS AVE, LAWTON, OK 73507(580) 355-1314(580) 355-1027 Get Directions Write a Review

NPPES record last updated: March 25, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Robert L Miracle, Dmd, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROBERT L MIRACLE, DMD, PC (NPI 1053635615) is a healthcare organization registered as a dental in Lawton, Oklahoma and active in the NPI registry since March 2010. The organization lists Robert Miracle, President, as its authorized official.

NPPES Registry Identity

NPI1053635615
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameROBERT L MIRACLE, DMD, PC
Location Address1810 NW FERRIS AVELawton, OK 73507-5625
Mailing Address1810 Nw Ferris AveLawton, OK 73507-5625 · (580) 355-1314 · Fax (580) 355-1027
Fax(580) 355-1027
Organization SubpartNo
Authorized OfficialRobert MiraclePresident · (580) 355-1314
Enumeration DateMarch 25, 2010
NPI 1053635615 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License Licensed in OK · 4 5347
1810 NW FERRIS AVE, Lawton, OK 73507

Other Identifiers 1

Medicaid100124580BOK

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
1810 NW FERRIS AVE
LAWTON, OK 73507

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Robert L Miracle, Dmd, PC's NPI number?

The NPI number for Robert L Miracle, Dmd, PC is 1053635615. It was assigned to this organization in the NPPES registry on March 25, 2010.

Where is Robert L Miracle, Dmd, PC located?

Robert L Miracle, Dmd, PC is located at 1810 NW Ferris Ave, Lawton, OK 73507. The listed phone number is (580) 355-1314.

What is Robert L Miracle, Dmd, PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Robert L Miracle, Dmd, PC was last updated on March 25, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.