Individual
DR. MERRILL BRENT MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
201 SOUTH 3RD ST, MCALESTER, OK 74501
(918) 423-1321
(918) 423-1481
Mailing address
201 SOUTH 3RD ST, MCALESTER, OK 74501
(918) 423-1321
(918) 423-1481
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4698
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100107670A
—
OK
Enumeration date
03/20/2007
Last updated
06/23/2020
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