# JEROLD W. MILLER, DDS, PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Dentists On The Square
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700096344
- **Authorized official:** DR. JEROLD WARREN MILLER D.D.S. (PRESIDENT)
- **Authorized official phone:** (215) 567-0110

## Contact information

- **Practice address:** 1845 WALNUT ST, SUITE 950, PHILADELPHIA, PA 19103-4708
- **Practice address phone:** (215) 567-0110
- **Practice address fax:** (215) 864-0496
- **Mailing address:** 1845 WALNUT ST, SUITE 950, PHILADELPHIA, PA 19103-4708
- **Mailing address phone:** (215) 567-0110
- **Mailing address fax:** (215) 864-0496

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | PA | Yes |

## Other

- **Enumeration date:** 05/23/2007
- **Last updated:** 08/22/2020