| William B Miller Dmd Pc | |
|
104 Old Mill Rd Lagrange GA 30241-6704 | |
| (706) 884-0049 | |
| (706) 884-2634 |
| Full Name | William B Miller Dmd Pc |
|---|---|
| Speciality | Dentist |
| Location | 104 Old Mill Rd, Lagrange, Georgia |
| Authorized Official Name and Position | William Bruce Miller (DOCTOR) |
| Authorized Official Contact | 7068840049 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| William B Miller Dmd Pc 104 Old Mill Rd Lagrange GA 30241-6704 Ph: (706) 884-0049 | William B Miller Dmd Pc 104 Old Mill Rd Lagrange GA 30241-6704 Ph: (706) 884-0049 |
| NPI Number | 1881813772 |
|---|---|
| Provider Enumeration Date | 04/25/2007 |
| Last Update Date | 05/28/2015 |
| Medicare PECOS PAC ID | 7416256508 |
|---|---|
| Medicare Enrollment ID | O20160423000004 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881813772 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | DN009183 (Georgia) | Primary |
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