Eric James Van Miller in Green Bay - Pediatric Dentistry
Eric James Van Miller - NPI 1245302132
Eric James Van Miller is a Pediatric Dentistry in Green Bay, Wisconsin. Eric James Van Miller practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Eric James Van Miller is 1245302132. The last update date is 2007-07-08.
Eric James Van Miller's current location address is 125 Siegler Street, Green Bay, Wisconsin. You can contact this provider via phone number 9205928940 and fax number 9205928953. The mailing address for Eric James Van Miller is 125 Siegler Street, Green Bay, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Eric James Van Miller |
|---|---|
| Address | 125 Siegler Street, Green Bay, Wisconsin |
| Phone Number | 9205928940 |
| Fax Number | 9205928953 |
| Sole Proprietor | N |
| Credentials | DDS DIPLOM |
NPI Number Detail
| NPI Number | 1245302132 |
|---|---|
| Provider Enumeration Date | 2006-11-15 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 125 Siegler Street |
|---|---|
| City | Green Bay |
| State | Wisconsin (WI) |
| Post Code | 54303 |
| Phone Number | 9205928940 |
| Fax Number | 9205928953 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 5182015 |
|
Definition: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
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What is the unique 10-digit identification code assigned to Eric James Van Miller by the Centers for Medicare & Medicaid Services?
The Eric James Van Miller has been issued the NPI (National Provider Identifier) 1245302132, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Eric James Van Miller is physically located?
The Eric James Van Miller is physically situated at the following address: 125 Siegler Street, Green Bay, WI, 54303.
What is the Eric James Van Miller's specialty and taxonomy code?
The Eric James Van Miller's specialty is Pediatric Dentistry, and the corresponding taxonomy code is 1223P0221X.
On what date did Eric James Van Miller receive its 1245302132 assignment from the Centers for Medicare & Medicaid Services?
The Eric James Van Miller was assigned its 1245302132 on 2006-11-15, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Eric James Van Miller's details last updated?
The information pertaining to the Eric James Van Miller, including its address, specialty, and other details, was most recently updated on 2007-07-08.
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