DR. Jan S Miller
NPI #1114006541 in Port Jefferson, New York
Provider Information
- NPI Number
- 1114006541
- Entity Type
- Individual
- Name
- DR. Jan S Miller
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Nov 5, 2006
- Last Updated
- Oct 17, 2013
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
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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