Mark A Miller, DMD is a
Dentist - General Practice based in Carlton, Oregon. Mark A Miller is licensed to practice in Oregon (license number 5513) and his current practice location is
133 E Main, Carlton, Oregon. He can be reached at his office (for appointments etc.) via phone at
(503) 852-7147.
NPI number for Mark A Miller is 1518966423 and his current mailing address is Po Box 220, Carlton, Oregon. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1518966423.
Healthcare Provider's Profile
| Full Name | Mark A Miller |
|---|
| Gender | Male |
|---|
| Speciality | Dentist - General Practice |
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| Location | 133 E Main, Carlton, Oregon |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1518966423
- Provider Enumeration Date: 07/21/2005
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mark A Miller such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1518966423 | NPI | - | NPPES |
| 075390 | Medicaid | OR | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223G0001X | Dentist - General Practice | 5513 (Oregon) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mark A Miller is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mark A Miller, DMD
Po Box 220,
Carlton, OR 97111-0220
Ph: (503) 852-7147 | Mark A Miller, DMD
133 E Main,
Carlton, OR 97111
Ph: (503) 852-7147 |
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