DR. GEORGE M. MYRACLE (NPI# 1861668196) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861668196 |
| Entity Type | Individual |
| Full Name | DR. GEORGE M. MYRACLE |
| Credential | D.D.S. |
| Practice Address |
411 Tanner St Sikeston MO 63801-4272 |
| Practice Telephone | 5734712077 |
| Mailing Telephone | 5734712077 |
| Enumeration Date | 2008-05-06 |
| Last Update Date | 2008-05-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
13502 | MO | Dental Providers |
| Street Address |
411 TANNER ST |
| City | SIKESTON |
| State | MO |
| Zip Code | 63801-4272 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689285082 | Logan & Seiler Inc | Pharmacy | 102 Hospitality Drive, Suite B, Sikeston, MO 63801 | 2020-08-11 |
| 1992212153 | Sharaye Gilmore | Social Worker | 135 Plaza Dr Suite 102, Sikeston, MO 63801 | 2018-01-09 |
| 1730606385 | Megan Leann Schlosser | Occupational Therapy Assistant | Kenny Rogers Children's Center, 300 Floyd Dr., Sikeston, MO 63801 | 2017-08-24 |
| 1780130930 | Delta South Adult Care Center LLC | Clinic/Center | 640 Colonel George E Day Parkway, Sikeston, MO 63801 | 2016-08-28 |
| 1013236421 | Missouri Delta Medical Center | Clinic/Center | 1013 North Main, Sikeston, MO 63801 | 2010-05-25 |
| 1134361868 | Sikeston Rehab, LLC | Physical Therapy Assistant | 806 S. Kingshighway, Sikeston, MO 63801 | 2009-03-26 |
| 1508066978 | Paula Kaye Beck | Occupational Therapist | 2016 Oklahoma Ave, Sikeston, MO 63801 | 2007-07-23 |
| 1740497551 | James D West | Audiologist | 903 South Kingshighway, Sikeston, MO 63801 | 2007-05-17 |
| 1619190162 | Syed Muhammad Shahab Sayeed | Psychiatry & Neurology | 1008 N Main, Missouri Delta Medical Centre, Sikeston, MO 63801 | 2007-04-11 |
| 1629195607 | Melissa A Stewart | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 106 Dacus, Sikeston, MO 63801 | 2007-03-23 |
| Find all providers in zip 63801 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649878034 | Soh of Missouri Samson Liu PC | Dentist | 810 Ofallon Rd Ste 70, Weldon Spring, MO 63304-8107 | 2020-10-16 |
| 1952918054 | Candid Missouri, LLC | Dentist | 7431 Broadway, Kansas City, MO 64114-1529 | 2020-09-23 |
| 1659915098 | Cheif Smiles LLC | Dentist | 620 E. Us Highway 40, Blue Springs, MO 64014 | 2019-10-29 |
| 1780140459 | Evan W Brown Dds Inc | Dentist | 160 Four Seasons Shopping Ctr, Chesterfield, MO 63017-3104 | 2019-02-18 |
| 1376014852 | Catherine Loner | Dentist | 1470 S New Florissant Rd, Florissant, MO 63031-8198 | 2018-12-10 |
| 1972079556 | Erin Corsi Fraundorf | Dentist | 3009 State Hwy K, O'fallon, MO 63368 | 2018-10-22 |
| 1699281121 | St Louis South Orthodontics | Dentist | 9911 Kennerly Rd Ste H, Saint Louis, MO 63128-2700 | 2017-12-20 |
| 1023557766 | Uncommon Orthodontics By William A. Pickard, Dds, Ms, Pllc | Dentist | 2330 S Range Line Rd Ste E, Joplin, MO 64804-3267 | 2017-02-14 |
| 1023556743 | Mark Humphrey | Dentist | 8657 Old Bonhomme Rd, Saint Louis, MO 63132-3901 | 2017-02-01 |
| 1912458688 | Jerry F. Cash | Dentist | 2844 S Ingram Mill Rd, Springfield, MO 65804-4042 | 2016-10-18 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. GEORGE M. MYRACLE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.