Organization
MILLER AND ASSOCIATES FIVE LLC
Active
Other names
Miller and Associates
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT BAILEY MILLER IV DDS (OWNER)
(252) 626-9729
Entity
Organization
Contact information
Practice address
1602 HIGHWAY 17 N, SURFSIDE BEACH, SC 29575-6015
(843) 238-3332
Mailing address
1602 HIGHWAY 17 N, SURFSIDE BEACH, SC 29575-6015
(843) 238-3332
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7519
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89902N1
—
NC
Enumeration date
09/25/2013
Last updated
09/25/2013
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