Individual
DR. JOHN SAMUEL MILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
44539 STERLING HWY, 203, SOLDOTNA, AK 99669-7938
(907) 262-8834
Mailing address
863 RIVER ESTATES DR, SOLDOTNA, AK 99669-8067
(907) 262-8834
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1020
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DD33124
—
AK
Enumeration date
12/22/2006
Last updated
07/09/2007
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