Edward Ray Miller is a Dentist in Belleville, Illinois. Edward Ray Miller practices all healthcare services and medical treatments related to Dentist. The NPI Number for Edward Ray Miller is 1700809563. The last update date is 2018-07-18.
Edward Ray Miller's current location address is 3700 N Belt W, Belleville, Illinois. You can contact this provider via phone number 6182333701 and fax number 6182336721. The mailing address for Edward Ray Miller is 3700 N Belt W, Belleville, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Name | Edward Ray Miller |
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Address | 3700 N Belt W, Belleville, Illinois |
Phone Number | 6182333701 |
Fax Number | 6182336721 |
Sole Proprietor | Y |
Credentials | DMD |
NPI Number Detail
NPI Number | 1700809563 |
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Provider Enumeration Date | 2006-07-25 |
Last Updated Date | 2018-07-18 |
Provider Mailing Address Detail
Address | 3700 N Belt W |
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City | Belleville |
State | Illinois (IL) |
Post Code | 622265629 |
Phone Number | 6182333701 |
Fax Number | 6182336721 |
Provider's Primary Taxonomy Detail
Speciality | Dentist |
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Taxonomy | 122300000X |
Licence No | 19-026162 |
Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the unique identification code assigned to Edward Ray Miller by the Centers for Medicare & Medicaid Services?
The Edward Ray Miller has been issued the NPI (National Provider Identifier) 1700809563. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Edward Ray Miller's physical address?
The Edward Ray Miller is physically located at 3700 N Belt W, in the city of Belleville, IL, with the postal code 622265629.
What is Edward Ray Miller's specialized field of practice, and what is the corresponding taxonomy classification code?
The Edward Ray Miller's area of specialization is Dentist, and the corresponding taxonomy code that categorizes this field of practice is 122300000X.
On what date did the Edward Ray Miller receive the assignment of its 1700809563 from the Centers for Medicare & Medicaid Services?
The Edward Ray Miller was issued its 1700809563 by the Centers for Medicare & Medicaid Services on 2006-07-25.
As of what date were the details related to Edward Ray Miller most recently updated or revised?
The information pertaining to Edward Ray Miller, including its address, specialty, and other relevant details, was last updated or revised on 2018-07-18.