Individual
DR. GARY LYNN MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
806 N MAIN ST, JENNINGS, LA 70546-4728
(337) 824-2422
(337) 824-0047
Mailing address
806 N MAIN ST, JENNINGS, LA 70546-4728
(337) 824-2422
(337) 824-0047
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3439
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1834394
—
LA
01
—
G4862
BLUE CROSS BLUE SHIELD
LA
Enumeration date
03/23/2006
Last updated
05/19/2014
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