Miller Dental, Pc | |
11701 E Washington St Indianapolis IN 46229-2947 | |
(317) 894-3400 | |
(317) 894-3475 |
Full Name | Miller Dental, Pc |
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Speciality | Clinic/center - Dental |
Location | 11701 E Washington St, Indianapolis, Indiana |
Authorized Official Name and Position | Matthew Ivan Miller (PRESIDENT) |
Authorized Official Contact | 3178943400 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Miller Dental, Pc 11701 E Washington St Indianapolis IN 46229-2947 Ph: (317) 894-3400 | Miller Dental, Pc 11701 E Washington St Indianapolis IN 46229-2947 Ph: (317) 894-3400 |
NPI Number | 1215287818 |
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Provider Enumeration Date | 09/12/2012 |
Last Update Date | 09/12/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1215287818 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 54001736A (Indiana) | Primary |
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