Individual
JACK M MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
12720 MEETING HOUSE RD, CARMEL, IN 46032-7334
(317) 571-1900
(317) 569-9695
Mailing address
12720 MEETING HOUSE RD, CARMEL, IN 46032-7334
(317) 571-1900
(317) 569-9695
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12009482A
IN
Other
Enumeration date
07/25/2007
Last updated
07/25/2007
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