Organization
JOSEPH P. MILES, DDS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH P. MILES DDS (OWNER)
(870) 367-6453
Entity
Organization
Contact information
Practice address
511 N HYATT ST, MONTICELLO, AR 71655-4029
(870) 367-6453
(870) 367-0375
Mailing address
511 N HYATT ST, MONTICELLO, AR 71655-4029
(870) 367-6453
(870) 367-0375
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3068
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
158812608
—
AR
01
—
847904
UNITED CONCORDIA
AR
Enumeration date
05/30/2007
Last updated
05/20/2008
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