Organization
PHILLIP H. MILLER
Active
Other names
Augusta Pediatric Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
PHILLIP H MILLER DMD (DENTIST)
(706) 860-2244
Entity
Organization
Contact information
Practice address
104 KINGS CHAPEL RD, AUGUSTA, GA 30907-4001
(706) 860-2244
(706) 860-2248
Mailing address
104 KINGS CHAPEL RD, AUGUSTA, GA 30907-4001
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DN007974
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000050421A
—
GA
Enumeration date
02/07/2007
Last updated
11/21/2008
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