Individual
DR. COLETTA M MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
3740 E LAKE CTR, QUINCY, IL 62305-5805
(217) 224-6789
(217) 224-9675
Mailing address
3740 E LAKE CTR, QUINCY, IL 62305-5805
(217) 224-6789
(217) 224-9675
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
021-001383
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0589937
—
IA
05
—
102687
—
IL
Enumeration date
06/27/2005
Last updated
08/27/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us