Organization
JAN S. MILLER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAN S MILLER DDS (OWNER)
(631) 743-9090
Entity
Organization
Contact information
Practice address
635 BELLE TERRE RD, SUITE 103, PORT JEFFERSON, NY 11777-1935
(631) 743-9090
(631) 743-9091
Mailing address
635 BELLE TERRE RD, SUITE 103, PORT JEFFERSON, NY 11777-1935
(631) 743-9090
(631) 743-9091
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
01/07/2009
Last updated
03/31/2015
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