Individual
DR. JOEL SIMON MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1100 N COLLEGE AVE, FAYETTEVILLE, AR 72703-1944
(661) 257-5858
(661) 257-3660
Mailing address
PO BOX 2429, SMYRNA, TN 37167-1719
(661) 257-5858
(661) 257-3660
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
32365
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
752442
UNITED CONCORDIA
CA
Enumeration date
12/22/2005
Last updated
05/12/2020
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