| Joseph P. Miles, Dds, Pa | |
|
511 N Hyatt St Monticello AR 71655-4029 | |
| (870) 367-6453 | |
| (870) 367-0375 |
| Full Name | Joseph P. Miles, Dds, Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 511 N Hyatt St, Monticello, Arkansas |
| Authorized Official Name and Position | Joseph P. Miles (OWNER) |
| Authorized Official Contact | 8703676453 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Joseph P. Miles, Dds, Pa 511 N Hyatt St Monticello AR 71655-4029 Ph: (870) 367-6453 | Joseph P. Miles, Dds, Pa 511 N Hyatt St Monticello AR 71655-4029 Ph: (870) 367-6453 |
| NPI Number | 1184825895 |
|---|---|
| Provider Enumeration Date | 05/30/2007 |
| Last Update Date | 05/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184825895 | NPI | - | NPPES |
| 158812608 | Medicaid | AR | |
| 847904 | Other | AR | UNITED CONCORDIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 3068 (Arkansas) | Primary |
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