Individual
DR. DAVID M MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
160 COMMACK RD, COMMACK, NY 11725-3412
(631) 499-7266
(631) 499-7525
Mailing address
160 COMMACK RD, COMMACK, NY 11725-3412
(631) 499-7266
(631) 499-7525
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
041250
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01252877
—
NY
Enumeration date
07/26/2006
Last updated
07/08/2007
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