Individual
DR. CRAIG BRIAN MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.
Contact information
Practice address
100 ERSKINE LN, SCOTT DEPOT, WV 25560-9751
(304) 757-9265
(304) 757-7753
Mailing address
100 ERSKINE LN, SCOTT DEPOT, WV 25560-9751
(304) 757-9265
(304) 757-7753
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
2800
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0137579000
—
WV
Enumeration date
07/19/2006
Last updated
07/08/2007
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