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

Keith Thomas Mielke, DMD

Individual provider Dentist · NPI 1891470092

Keith Thomas Mielke, DMD is a Dentist in Boston, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2023.

Licensed in
MA
In the registry since
2023
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

1 Kneeland St
Boston, MA 02111-1527
Phone: (760) 696-2850
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DN1859788 (MA)

Record details

NPI number1891470092
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedJune 16, 2023
Last updated in NPPESJune 16, 2023
Certification dateMay 22, 2023
Mailing address665 Washington St Unit 913, Boston, MA 02111-1641

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