Individual
PAIGE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
19103 MASON PLZ, ELKHORN, NE 68022-5659
(402) 933-0525
Mailing address
19103 MASON PLZ, ELKHORN, NE 68022-5659
(402) 933-0525
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6495
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47071268402
—
NE
01
—
4971
BCBS PROVIDER ID
NE
Enumeration date
12/01/2005
Last updated
05/19/2020
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