| Jack W Miller Dds Pa | |
|
2203 Sweetbriar St Wichita KS 67204-5518 | |
| (316) 838-1300 | |
| (316) 838-1355 |
| Full Name | Jack W Miller Dds Pa |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2203 Sweetbriar St, Wichita, Kansas |
| Authorized Official Name and Position | Jack W Miller (DENTIST) |
| Authorized Official Contact | 3168381300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jack W Miller Dds Pa 2203 Sweetbriar St Wichita KS 67204-5518 Ph: (316) 838-1300 | Jack W Miller Dds Pa 2203 Sweetbriar St Wichita KS 67204-5518 Ph: (316) 838-1300 |
| NPI Number | 1639345606 |
|---|---|
| Provider Enumeration Date | 04/30/2008 |
| Last Update Date | 04/30/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639345606 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 5448 (Kansas) | Primary |
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