Organization
64 HIGHLAND DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN MILLER DDS (OWNER)
(508) 926-8660
Entity
Organization
Contact information
Practice address
64 HIGHLAND STREET, WORCESTER, MA 01609
(508) 926-8660
(508) 426-8667
Mailing address
64 HIGHLAND STREET, WORCESTER, MA 01609
(508) 926-8660
(508) 926-8667
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
—
—
1223G0001X
General Practice Dentistry
20028
MA
1223G0001X
General Practice Dentistry
Primary
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
124Q00000X
Dental Hygienist
—
—
Other
Enumeration date
12/10/2009
Last updated
05/11/2015
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