Jan S. Miller

NPI #1063659431 in Port Jefferson, New York

Provider Information

NPI Number: 1063659431
Entity Type: Organization
Organization Name: Jan S. Miller
Primary Specialty: Dentist
Enumeration Date: Jan 7, 2009
Last Updated: Mar 31, 2015

Practice Location

Address: 635 BELLE TERRE RD
Address 2: SUITE 103
City: Port Jefferson
State: New York
ZIP Code: 11777-1935
Phone: (631) 743-9090

Authorized Official

Name: DR. JAN S MILLER, DDS
Title: OWNER
Phone: (631) 743-9090

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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