Evan N. Miller, Dds, Pa

NPI 1093919607 - Dentist - 1223E0200X

NPI Details
NPI 1093919607
Enumeration Date 06/14/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name EVAN N EVAN
Position DENTIST
Phone (704) 377-1444
Fax
Practice Location
130 PROVIDENCE RD
CHARLOTTE NC, 28207-1218, US
Phone (704) 377-1444
Fax
Business Location
130 PROVIDENCE RD
CHARLOTTE NC, 28207-1218, US
Phone (704) 377-1444
Fax
Toxanomy
Taxonomy Code 1223E0200X
License State North Carolina
License Number 5830
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According to our database, Evan N. Miller, Dds, Pa NPI is 1093919607, taxonomy code is 1223E0200X and license number is 5830, license state is located at North Carolina. Evan N. Miller, Dds, Pa physically located at 130 Providence Rd, Charlotte NC, 28207-1218. NPI Number 1033115704 has the healthcare provider type.

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1093919607 NPI number is provided on an as is basis without warranty of any kind. 1093919607 is maintained by the National Plan & Provider Enumeration System. The contents of Evan N. Miller, Dds, Pa are for informational purposes only.