| David E Miller, DDS | |
|
1218 E Sibley Blvd, Dolton, IL 60419-2929 | |
| (708) 841-3333 | |
| Not Available |
| Full Name | David E Miller |
|---|---|
| Gender | Male |
| Speciality | Dentist |
| Location | 1218 E Sibley Blvd, Dolton, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396198966 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 019021352 (Illinois) | Primary |
| Entity Name | The Board Of Trustees Of The University Of Illinois |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386863819 PECOS PAC ID: 3072422716 Enrollment ID: O20031112000158 |
| Mailing Address | Practice Location Address |
|---|---|
| David E Miller, DDS 1218 E Sibley Blvd, Dolton, IL 60419-2929 Ph: (708) 841-3333 | David E Miller, DDS 1218 E Sibley Blvd, Dolton, IL 60419-2929 Ph: (708) 841-3333 |
Ms. Tina A Shroff, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1021 E Sibley Blvd, Dolton, IL 60419 Phone: 708-849-9520 Fax: 908-849-9584 | |
Dr. Lee B Silverglade, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1350 E Sibley Blvd, Ste 302, Dolton, IL 60419 Phone: 708-849-4644 | |
Dr. James Anthony Matchus, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1121 E Sibley Blvd, Dolton, IL 60419 Phone: 708-841-3565 | |
Dr. Mustapha Hotait, DDS Dentist Medicare: Accepting Medicare Assignments Practice Location: 1350 E Sibley Blvd, Suite 302, Dolton, IL 60419 Phone: 708-849-4644 | |
Dr. Dean Duval Dietrich, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 609 E Sibley Blvd, Dolton, IL 60419 Phone: 708-849-4400 | |
Dr. Paul Theodore Anast, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1121 E Sibley Blvd, Dolton, IL 60419 Phone: 708-201-1072 |