Individual
DR. JASON R MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD, MD
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
05054
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009996805
—
AL
05
—
009996815
—
AL
05
—
009996825
—
AL
05
—
009996835
—
AL
01
—
051528747
BLUE CROSS
AL
01
—
051528751
BLUE CROSS
AL
01
—
051528752
BLUE CROSS
AL
01
—
051528754
BLUE CROSS
AL
01
—
102G700181
MEDICARE GROUP PTAN
AL
01
—
102I850178
MEDICARE PTAN
AL
05
—
129559
—
AL
05
—
129563
—
AL
01
—
51117227
BCBS
AL
Enumeration date
03/10/2006
Last updated
12/22/2011
Update your record
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