Individual
DR. ROGER K MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S. PA
Contact information
Practice address
1303 PLAZA DR., KINGS MOUNTAIN, NC 28086
(704) 739-7956
(704) 739-1659
Mailing address
1303 PLAZA DR., P.O. BOX 638, KINGS MOUNTAIN, NC 28086
(704) 739-7956
(704) 739-1659
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5035
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7995963
—
NC
01
—
BCBSOF NC
95963
NC
Enumeration date
07/20/2006
Last updated
07/08/2007
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