NPI 1013151521

Derek Allan Miller, DDS

Practitioner Pediatric Dentistry Colorado Springs, CO

Practice location

Address: 6160 Tutt Blvd Suite 140, Colorado Springs, CO 80923-3500
Phone: (719) 550-1010
Fax: (719) 550-1212

Registered specialties

Pediatric Dentistry Primary

Dental Providers Taxonomy 1223P0221X Licence 9841 (CO)

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Registry record

NPI: 1013151521
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Apr 2009
Record last updated: 9 May 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.