# CHARLES T MILLER DDS PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295902054
- **Authorized official:** JEANNE N MILLER (OFFICE MANAGER)
- **Authorized official phone:** (303) 233-1354

## Contact information

- **Practice address:** 2801 YOUNGFIELD ST, SUITE 211, GOLDEN, CO 80401-2263
- **Practice address phone:** (303) 233-1354
- **Practice address fax:** (303) 233-1412
- **Mailing address:** 2801 YOUNGFIELD ST, SUITE 211, GOLDEN, CO 80401-2263
- **Mailing address phone:** (303) 233-1354
- **Mailing address fax:** (303) 233-1412

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 0576 | CO | Yes |

## Other

- **Enumeration date:** 05/12/2008
- **Last updated:** 05/12/2008
