Individual
DR. JOHN WILLIAM MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
403 MAIN ST, BOSWELL, PA 15531-1116
(814) 629-5603
Mailing address
403 MAIN ST, BOSWELL, PA 15531-1116
(814) 629-5603
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS027489L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0017746060001
COMMONWEALTH PA ID#
PA
Enumeration date
09/27/2006
Last updated
02/07/2016
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