| Randall A. Miller, Dds & David R. Blank, Dds | |
|
66 Colchester Ave Burlington VT 05401 | |
| (802) 862-8348 | |
| (802) 862-6823 |
| Full Name | Randall A. Miller, Dds & David R. Blank, Dds |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 66 Colchester Ave, Burlington, Vermont |
| Authorized Official Name and Position | Randall Armand Miller (OWNER/DENTIST) |
| Authorized Official Contact | 8028628348 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Randall A. Miller, Dds & David R. Blank, Dds 66 Colchester Ave Burlington VT 05401 Ph: (802) 862-8348 | Randall A. Miller, Dds & David R. Blank, Dds 66 Colchester Ave Burlington VT 05401 Ph: (802) 862-8348 |
| NPI Number | 1174728976 |
|---|---|
| Provider Enumeration Date | 06/20/2007 |
| Last Update Date | 08/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174728976 | NPI | - | NPPES |
| 1223G0001X | Medicaid | VT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 954 (Vermont) | Primary |
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