Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Carlos J Miro, DDS

Individual provider General Practice Dentistry · NPI 1386626554

Carlos J Miro, DDS is a General Practice Dentistry in Kenosha, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2005.

Licensed in
WI
In the registry since
2005
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

4536 22nd Ave
Kenosha, WI 53140-5917
Phone: (262) 656-0044
Fax: (262) 653-2218
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 4641-015 (WI)

Record details

NPI number1386626554
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedNovember 15, 2005
Last updated in NPPESApril 5, 2021
Certification dateApril 5, 2021
Mailing address821 S 57th St, West Allis, WI 53214-3333

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