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Organization
QUAD COUNTY ORAL & MAXILLOFACIAL SURGERY
Active
Organization
QUAD COUNTY ORAL & MAXILLOFACIAL SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES PAUL MILLER III DMD (OWNER PRESIDENT)
(724) 282-6100
Entity
Organization
Contact information
Practice address
114 EAST DIMOND ST, BUTLER, PA 16001-5906
(724) 282-6100
(724) 282-7701
Mailing address
114 EAST DIMOND ST, BUTLER, PA 16001-5906
(724) 282-6100
(724) 282-7701
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
DS019428L
PA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
DS020150L
PA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
DS029596L
PA
Other
Enumeration date
11/20/2006
Last updated
08/22/2020
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