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Organization
RICHARD T MILLER DMD PC
Active
Organization
RICHARD T MILLER DMD PC
Active
Parent organization
RICHARD T MILLER DMD PC
Other names
Great Neck Dental Associates
Organization subpart
Yes
Provider details
NPI number
Legal business name
RICHARD T MILLER DMD PC
Authorized official
LORRAINE MATHEUS (CREDENTIALING)
(781) 562-0457
Entity
Organization
Contact information
Practice address
611 NORTHERN BLVD STE 100, GREAT NECK, NY 11021-5208
(781) 562-0457
(339) 237-3307
Mailing address
500 CHAPMAN ST, CANTON, MA 02021-2093
(781) 562-0467
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
02/01/2023
Last updated
09/17/2024
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