NPI 1306163480

Derek J Miller, DDSMD

Practitioner Oral & Maxillofacial Surgery (D.M.D.) Dallas, TX

Practice location

Address: 5201 Harry Hines Blvd Graduate Medical Education, Dallas, TX 75235-7708
Phone: (214) 590-8058
Mailing address: PO Box 64369, Tucson, AZ 85728-4369

Registered specialties

Oral & Maxillofacial Surgery (D.M.D.) Primary

Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence 51560 (AZ)

Other Oral & Maxillofacial Surgery providers in Texas →

Registry record

NPI: 1306163480
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Apr 2010
Record last updated: 24 Sep 2020

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.