| Miller Oral Surgery Pc | |
|
200 East Broadway Jackson WY 83001-3996 | |
| (307) 733-4021 | |
| Not Available |
| Full Name | Miller Oral Surgery Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 200 East Broadway, Jackson, Wyoming |
| Authorized Official Name and Position | John Miller (PRESIDENT) |
| Authorized Official Contact | 3077334021 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Miller Oral Surgery Pc Po Box 3996 200 East Broadway Jackson WY 83001-3996 Ph: (307) 733-4021 | Miller Oral Surgery Pc 200 East Broadway Jackson WY 83001-3996 Ph: (307) 733-4021 |
| NPI Number | 1700916624 |
|---|---|
| Provider Enumeration Date | 03/07/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700916624 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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