Individual
MR. EDWARD J MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
115 W COMMERCIAL AVE, ANACONDA, MT 59711-2246
(406) 563-6660
(406) 563-2387
Mailing address
PO BOX 1178, ANACONDA, MT 59711-1178
(406) 563-6660
(406) 563-2387
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1599
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110500
—
MT
01
—
15994
BLUE CROSS BLUE SHIELD
MT
Enumeration date
12/19/2006
Last updated
07/08/2007
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