| Wm J Miller Dmd Pc | |
|
1645 N New Florissant Rd Florissant MO 63033 | |
| (314) 838-3033 | |
| Not Available |
| Full Name | Wm J Miller Dmd Pc |
|---|---|
| Speciality | Dentist |
| Location | 1645 N New Florissant Rd, Florissant, Missouri |
| Authorized Official Name and Position | William J Miller (OWNER PARTNER) |
| Authorized Official Contact | 3148383033 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wm J Miller Dmd Pc 1645 N New Florissant Rd Florissant MO 63033 Ph: (314) 838-3033 | Wm J Miller Dmd Pc 1645 N New Florissant Rd Florissant MO 63033 Ph: (314) 838-3033 |
| NPI Number | 1639237274 |
|---|---|
| Provider Enumeration Date | 12/05/2006 |
| Last Update Date | 07/25/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639237274 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 11910 (Missouri) | Secondary |
| 122300000X | Dentist | 2001014860 (Missouri) | Primary |
| 122300000X | Dentist | 2000167581 (Missouri) | Secondary |
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