Individual
DR. JOHN ERIC MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
336 CAREY AVE, WILKES BARRE, PA 18702-2133
(570) 824-0693
(570) 824-0424
Mailing address
336 CAREY AVE, WILKES BARRE, PA 18702-2133
(570) 824-0693
(570) 824-0424
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS026390L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MI525796
UNITED CONCORDIA
PA
Enumeration date
10/12/2006
Last updated
07/08/2007
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