Organization
SOUTH STRAND DENTAL ASSOCIATES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL W MILLER II DMD (DENTIST)
(843) 238-5111
Entity
Organization
Contact information
Practice address
1616 AZALEA DR, SURFSIDE BEACH, SC 29575-5277
(843) 238-5111
(843) 238-2412
Mailing address
PO BOX 15128, SURFSIDE BEACH, SC 29587-5128
(843) 238-5111
(843) 238-2412
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
2200
SC
1223G0001X
General Practice Dentistry
Primary
2437
SC
1223G0001X
General Practice Dentistry
4045
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZA9758
—
SC
Enumeration date
01/16/2007
Last updated
08/22/2020
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