| Laura A Miller, Dds | |
|
80 S Main St Unit 203 Middletown CT 06457-3648 | |
| (860) 346-6872 | |
| (860) 346-6879 |
| Full Name | Laura A Miller, Dds |
|---|---|
| Speciality | Dentist |
| Location | 80 S Main St, Middletown, Connecticut |
| Authorized Official Name and Position | Laura Ann Miller Cozean (OWNER) |
| Authorized Official Contact | 2032459607 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Laura A Miller, Dds 80 S Main St Unit 203 Middletown CT 06457-3648 Ph: (860) 346-6872 | Laura A Miller, Dds 80 S Main St Unit 203 Middletown CT 06457-3648 Ph: (860) 346-6872 |
| NPI Number | 1861888208 |
|---|---|
| Provider Enumeration Date | 04/13/2015 |
| Last Update Date | 04/13/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861888208 | NPI | - | NPPES |
| 002076603 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 007660 (Connecticut) | Primary |
| 332BC3200X | Durable Medical Equipment & Medical Supplies - Customized Equipment | (* (Not Available)) | Secondary |
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