Individual
DR. CLINTON MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
419 W SOUTHWEST LOOP 323 STE 300, TYLER, TX 75701-7062
(903) 251-9292
(903) 207-8642
Mailing address
419 W SOUTHWEST LOOP 323 STE 300, TYLER, TX 75701-7062
(903) 251-9292
(903) 207-8642
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
31003
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
418989601
—
TX
Enumeration date
11/07/2006
Last updated
10/09/2024
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