Organization
JEFFREY H. MILLER, DDS.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KAREN HATLING (MANAGER)
(952) 929-9450
Entity
Organization
Contact information
Practice address
3345 DAKOTA AVE S, ST LOUIS PARK, MN 55416-2039
(952) 929-9450
(952) 929-1095
Mailing address
3345 DAKOTA AVE S, ST LOUIS PARK, MN 55416-2039
(952) 929-9450
(952) 929-1095
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7889
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1447367644
NPI TYPE 1
MN
Enumeration date
04/17/2008
Last updated
04/17/2008
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