| Mark A. Miller, D.d.s., Plc | |
|
111 Murray Guard Dr Suite A Jackson TN 38305-3772 | |
| (731) 668-9898 | |
| Not Available |
| Full Name | Mark A. Miller, D.d.s., Plc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 111 Murray Guard Dr, Jackson, Tennessee |
| Authorized Official Name and Position | Mark A. Miller (OWNER) |
| Authorized Official Contact | 7316689898 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark A. Miller, D.d.s., Plc 111 Murray Guard Dr Suite A Jackson TN 38305-3772 Ph: (731) 668-9898 | Mark A. Miller, D.d.s., Plc 111 Murray Guard Dr Suite A Jackson TN 38305-3772 Ph: (731) 668-9898 |
| NPI Number | 1992963805 |
|---|---|
| Provider Enumeration Date | 05/28/2008 |
| Last Update Date | 05/28/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992963805 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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