Individual
DR. FLOYD JOHN MILLER III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
100 CHERRY ST SE, GRAND RAPIDS, MI 49503-4526
(616) 965-8200
Mailing address
100 CHERRY ST SE, GRAND RAPIDS, MI 49503-4526
(616) 965-8200
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901012269
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4050243
—
MI
01
—
618660
UNITED CONCORDIA
—
Enumeration date
08/29/2006
Last updated
02/10/2016
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