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Oral Surgery, Dental Specialists

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DR. JOHN BALTON MILLER D.M.D.

Periodontics

Dothan, Alabama

Provider NPI: 1992720973

Provider Information:
DR. JOHN BALTON MILLER D.M.D.
Gender: M
Sole Proprietor


Practice Location:
103 MEDICAL DR  DOTHAN, AL 36303 US
Tel: 334-793-7232  Fax: 334-712-7720

Business Mailing Address:
103 MEDICAL DR  DOTHAN, AL 36303 US
Tel: 334-793-7232  Fax: 334-712-7720

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223P0300XDental Providers
Dentist
Periodontics
AL4183

Other Provider Identifiers:

IssuerNumberStateType
STATE LICENSE #4183AL01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin



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