Provider Demographics
NPI:1194850628
Name:MILLER, DONALD STEVEN (DMD)
Entity Type:Individual
Prefix:DR
First Name:DONALD
Middle Name:STEVEN
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 1:703 E 5TH ST
Mailing Address - Street 2:
Mailing Address - City:BELLWOOD
Mailing Address - State:PA
Mailing Address - Zip Code:16617-2016
Mailing Address - Country:US
Mailing Address - Phone:814-742-8486
Mailing Address - Fax:814-742-9255
Practice Address - Street 1:703 E 5TH ST
Practice Address - Street 2:
Practice Address - City:BELLWOOD
Practice Address - State:PA
Practice Address - Zip Code:16617-2016
Practice Address - Country:US
Practice Address - Phone:814-742-8486
Practice Address - Fax:814-742-9255
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADSO18391L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice