NPI 1083862825

Paul Miller, DDS

Practitioner General Practice Dentistry Crown Point, IN

Practice location

Address: 102 E. 107th St, Crown Point, IN 46307
Phone: (219) 750-1150
Mailing address: 102 E 107th St, Crown Point, IN 46307

Registered specialties (2)

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 12011904A (IN)

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Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1083862825
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Sep 2008
Record last updated: 24 Jan 2014

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.