Provider Demographics
NPI:1043623267
Name:MILLER, ADAM M (DMD)
Entity Type:Individual
Prefix:DR
First Name:ADAM
Middle Name:M
Last Name:MILLER
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:228 S CLIFF ST
Mailing Address - Street 2:
Mailing Address - City:BUTLER
Mailing Address - State:PA
Mailing Address - Zip Code:16001-6020
Mailing Address - Country:US
Mailing Address - Phone:724-283-3393
Mailing Address - Fax:
Practice Address - Street 1:228 S CLIFF ST
Practice Address - Street 2:
Practice Address - City:BUTLER
Practice Address - State:PA
Practice Address - Zip Code:16001-6020
Practice Address - Country:US
Practice Address - Phone:724-283-3393
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-05
Last Update Date:2014-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADO-039969122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist