| Miller Dental Associates, Incorporated | |
|
904 Elm St Suite 214 Columbia MO 65201-4875 | |
| (573) 443-2434 | |
| (573) 443-2496 |
| Full Name | Miller Dental Associates, Incorporated |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 904 Elm St, Columbia, Missouri |
| Authorized Official Name and Position | E Lynn Miller (PRESIDENT) |
| Authorized Official Contact | 5734432434 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Miller Dental Associates, Incorporated 904 Elm St Suite 214 Columbia MO 65201-4875 Ph: (573) 443-2434 | Miller Dental Associates, Incorporated 904 Elm St Suite 214 Columbia MO 65201-4875 Ph: (573) 443-2434 |
| NPI Number | 1801014139 |
|---|---|
| Provider Enumeration Date | 04/23/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801014139 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 12090 (Missouri) | Primary |
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