| Jan S. Miller | |
|
635 Belle Terre Rd Suite 103 Port Jefferson NY 11777-1935 | |
| (631) 743-9090 | |
| (631) 743-9091 |
| Full Name | Jan S. Miller |
|---|---|
| Speciality | Dentist |
| Location | 635 Belle Terre Rd, Port Jefferson, New York |
| Authorized Official Name and Position | Jan S Miller (OWNER) |
| Authorized Official Contact | 6317439090 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jan S. Miller 635 Belle Terre Rd Suite 103 Port Jefferson NY 11777-1935 Ph: (631) 743-9090 | Jan S. Miller 635 Belle Terre Rd Suite 103 Port Jefferson NY 11777-1935 Ph: (631) 743-9090 |
| NPI Number | 1063659431 |
|---|---|
| Provider Enumeration Date | 01/07/2009 |
| Last Update Date | 03/31/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063659431 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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