Organization
RONALD S MILLER DMD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD S MILLER DMD (PRESIDENT)
(781) 961-2123
Entity
Organization
Contact information
Practice address
41 HIGHLAND AVE, RANDOLPH, MA 02368
(781) 961-2123
(781) 961-3375
Mailing address
41 HIGHLAND AVE, RANDOLPH, MA 02368
(781) 961-2123
(781) 961-3375
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
11787
MA
1223P0300X
Periodontics
Primary
12239
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0228621
—
MA
01
—
M12351
BCBS
MA
Enumeration date
04/11/2007
Last updated
09/11/2025
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