Individual
DR. MICHAEL JAY MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
86A E MAIN ST, BUCKHANNON, WV 26201-2733
(304) 472-8598
(304) 472-0651
Mailing address
86A E MAIN ST, BUCKHANNON, WV 26201-2733
(304) 472-8598
(304) 472-0651
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2623
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0136763000
—
WV
Enumeration date
08/16/2006
Last updated
09/19/2007
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