Individual
DR. GLENN BRADLEY MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1944 HENDERSONVILLE RD, PARK SOUTH B-2, ASHEVILLE, NC 28803-2351
(828) 684-3839
(828) 681-0937
Mailing address
1944 HENDERSONVILLE RD, PARK SOUTH B-2, ASHEVILLE, NC 28803-2351
(828) 684-3839
(828) 681-0937
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4517
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8995958
—
NC
01
—
95958
BLUE CROSS BLUE SHIELD ID
—
Enumeration date
11/07/2006
Last updated
07/09/2007
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