| Matthew Lee Miller | |
|
372 Middleway Pike Ste A Inwood WV 25428-3909 | |
| (304) 229-5851 | |
| (304) 229-0666 |
| Full Name | Matthew Lee Miller |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 372 Middleway Pike Ste A, Inwood, West Virginia |
| Authorized Official Name and Position | Matthew Lee Miller (OWNER/DENTIST) |
| Authorized Official Contact | 3042295851 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Matthew Lee Miller 372 Middleway Pike Ste A Inwood WV 25428-3909 Ph: (304) 229-5851 | Matthew Lee Miller 372 Middleway Pike Ste A Inwood WV 25428-3909 Ph: (304) 229-5851 |
| NPI Number | 1609354877 |
|---|---|
| Provider Enumeration Date | 07/31/2018 |
| Last Update Date | 07/31/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609354877 | NPI | - | NPPES |
| 1912922873 | Medicaid | WV | |
| 1790048247 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 4292 (West Virginia) | Primary |
Daniel Bonner Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 372 Middleway Pike Ste A, Inwood, WV 25428 Phone: 304-229-5851 |