# MILLER DENTAL ASSOCIATES, PC

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

## Provider details

- **NPI number:** 1770800559
- **Authorized official:** KIM STEWARD (PROVIDER RELATIONS MANAGER)
- **Authorized official phone:** (315) 454-6000

## Contact information

- **Practice address:** 3320 ALPINE AVE NW, GRAND RAPIDS, MI 49544-1677
- **Practice address phone:** (616) 785-3100
- **Mailing address:** 3320 ALPINE AVE NW, GRAND RAPIDS, MI 49544-1677
- **Mailing address phone:** (616) 785-3100

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 2901020140 | MI | Yes |

## Other

- **Enumeration date:** 05/03/2010
- **Last updated:** 05/03/2010