Individual
DR. RICHARD ROSCOE MILLER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
19 WALNUT AVE, SUMMERVILLE, GA 30747-1251
(706) 857-4741
(706) 857-2713
Mailing address
19 WALNUT AVE, SUMMERVILLE, GA 30747-1251
(706) 857-4741
(706) 857-2713
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
008619
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000216136AC
—
GA
Enumeration date
08/23/2006
Last updated
06/06/2016
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