Individual
DR. JONATHAN MATTHEW MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
112 W SAINT JOHN ST, TARBORO, NC 27886-4317
(252) 823-3864
(252) 823-5864
Mailing address
112 W SAINT JOHN ST, TARBORO, NC 27886-4317
(252) 823-3864
(252) 823-5864
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9817
NC
Other
Enumeration date
07/29/2008
Last updated
02/07/2018
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