NPI 1316380835

Stephanie Lisa Miller, DMD

Practitioner Dentist Fort Wainwright, AK

Practice location

Address: 4066 602nd Street, Fort Wainwright, AK 99703
Phone: (907) 361-5530
Fax: (907) 361-4859
Mailing address: 60 Earles CT, Narragansett, RI 02882-3929

Registered specialties (2)

Dentist Primary

Dental Providers Taxonomy 122300000X Licence DEN.00203471 (CO)

Other Dentist providers in Alaska →

Dentist

Dental Providers Taxonomy 122300000X Licence 8708209-9922 (UT)

Registry record

NPI: 1316380835
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Apr 2013
Record last updated: 27 Apr 2018

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.