Edward Ray Miller in Belleville - General Practice

Edward Ray Miller - NPI 1700809563

Edward Ray Miller is a General Practice in Belleville, Illinois. Edward Ray Miller practices all healthcare services and medical treatments related to General Practice. 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
Address 3700 N Belt W, Belleville, Illinois
Phone Number 6182333701
Fax Number 6182336721
Sole Proprietor Y
Credentials DMD

NPI Number Detail

NPI Number 1700809563
Provider Enumeration Date 2006-07-25
Last Updated Date 2018-07-18

Provider Mailing Address Detail

Address 3700 N Belt W
City Belleville
State Illinois (IL)
Post Code 622265629
Phone Number 6182333701
Fax Number 6182336721

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 2018014802
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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FAQs about Edward Ray Miller

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 General Practice, and the corresponding taxonomy code that categorizes this field of practice is 1223G0001X.

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.

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