| Jacob S Miller, Dds, Pllc | |
|
2730 5 Mile Rd Ne Suite #101 Grand Rapids MI 49525-6518 | |
| (616) 364-7039 | |
| (616) 364-6068 |
| Full Name | Jacob S Miller, Dds, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2730 5 Mile Rd Ne, Grand Rapids, Michigan |
| Authorized Official Name and Position | Jacob S Miller (PRESIDENT) |
| Authorized Official Contact | 6169019148 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jacob S Miller, Dds, Pllc 6689 Gran Via Dr Ne Rockford MI 49341-9689 Ph: (616) 901-9148 | Jacob S Miller, Dds, Pllc 2730 5 Mile Rd Ne Suite #101 Grand Rapids MI 49525-6518 Ph: (616) 364-7039 |
| NPI Number | 1689119414 |
|---|---|
| Provider Enumeration Date | 01/03/2017 |
| Last Update Date | 01/03/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689119414 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | L2901020673 (Michigan) | Primary |
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