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Individual

DR. CRAIG S MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
800 ROSE ST RM D104, UNIVERSITY OF KENTUCKY COLLEGE OF DENTISTRY, LEXINGTON, KY 40536-0297
(859) 323-5831
Mailing address
800 ROSE ST RM D104, UNIVERSITY OF KENTUCKY COLLEGE OF DENTISTRY, LEXINGTON, KY 40536-0297
(859) 323-5831

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
5691
KY
1223G0001X
General Practice Dentistry
Primary
5691
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
60056918
KY
Enumeration date
09/25/2006
Last updated
01/20/2015
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