Organization
MILLER AND DIXON ORTHODONTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN BLAINE MILLER DMD,MS (DOCTOR)
(803) 327-1144
Entity
Organization
Contact information
Practice address
1564 CONSTITUTION BLVD, ROCK HILL, SC 29732-3004
(803) 327-1144
(803) 328-2100
Mailing address
1564 CONSTITUTION BLVD, ROCK HILL, SC 29732-3004
(803) 327-1144
(803) 328-2100
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
4079
SC
Other
Enumeration date
05/31/2007
Last updated
01/03/2012
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