Jack W Miller Dds Pa in Wichita - Dental

Jack W Miller Dds Pa - NPI 1639345606

Jack W Miller Dds Pa is a Dental in Wichita, Kansas. Jack W Miller Dds Pa practices all healthcare services and medical treatments related to Dental. The NPI Number for Jack W Miller Dds Pa is 1639345606. The last update date is 2008-04-30.

Jack W Miller Dds Pa's current location address is 2203 Sweetbriar St, Wichita, Kansas. You can contact this provider via phone number 3168381300 and fax number 3168381355. The mailing address for Jack W Miller Dds Pa is 2203 Sweetbriar St, Wichita, Kansas. To know further, please read the information below!

Provider Profile Detail

Provider Organization Jack W Miller Dds Pa
Address 2203 Sweetbriar St, Wichita, Kansas
Phone Number 3168381300
Fax Number 3168381355
Sole Proprietor --
Credentials --

Authorized Official

Title or Position DENTIST
Authorized Official Name Miller W Jack
Credentials DDS
Telephone Number 3168381300

NPI Number Detail

NPI Number 1639345606
Provider Enumeration Date 2008-04-30
Last Updated Date 2008-04-30

Provider Mailing Address Detail

Address 2203 Sweetbriar St
City Wichita
State Kansas (KS)
Post Code 672045518
Phone Number 3168381300
Fax Number 3168381355

Provider's Primary Taxonomy Detail

Speciality Dental
Taxonomy 261Qd0000X
Licence No 5448
Definition:
Provides general and specialized dental care and oral surgery.

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FAQs about Jack W Miller Dds Pa

What is the unique identifier code issued to Jack W Miller Dds Pa by the Centers for Medicare & Medicaid Services?

The Jack W Miller Dds Pa has been assigned the NPI (National Provider Identifier) 1639345606. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Jack W Miller Dds Pa is located?

The Jack W Miller Dds Pa is situated at the following address: 2203 Sweetbriar St, Wichita, KS, 672045518.

What is Jack W Miller Dds Pa's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Jack W Miller Dds Pa is Dental, and the corresponding taxonomy classification code for this specialized field is 261Qd0000X.

On what date did the Jack W Miller Dds Pa receive the assignment of its 1639345606 from the Centers for Medicare & Medicaid Services?

The Jack W Miller Dds Pa was issued its 1639345606 by the Centers for Medicare & Medicaid Services on 2008-04-30.

When was the Jack W Miller Dds Pa's information last updated?

The Jack W Miller Dds Pa's information was last updated on 2008-04-30.

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