| Ronald S Miller Dmd | |
|
41 Highland Ave Randolph MA 02368 | |
| (781) 961-2123 | |
| (781) 961-3375 |
| Full Name | Ronald S Miller Dmd |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 41 Highland Ave, Randolph, Massachusetts |
| Authorized Official Name and Position | Ronald S Miller (PRESIDENT) |
| Authorized Official Contact | 7819612123 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ronald S Miller Dmd 41 Highland Ave Randolph MA 02368 Ph: (781) 961-2123 | Ronald S Miller Dmd 41 Highland Ave Randolph MA 02368 Ph: (781) 961-2123 |
| NPI Number | 1184847790 |
|---|---|
| Provider Enumeration Date | 04/11/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184847790 | NPI | - | NPPES |
| 0228621 | Medicaid | MA | |
| M12351 | Other | MA | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 11787 (Massachusetts) | Primary |
| 1223P0300X | Dentist - Periodontics | 12239 (Massachusetts) | Primary |
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