Individual
DR. MATTHEW JON MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
347 ROUTE 25A STE 3, ROCKY POINT, NY 11778-7911
(631) 744-8400
Mailing address
347 ROUTE 25A STE 3, ROCKY POINT, NY 11778-7911
(631) 744-8400
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
057738
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04588065
—
NY
Enumeration date
05/09/2012
Last updated
08/21/2024
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