Provider Demographics
NPI:1225257496
Name:DRS. MILLER, SOLOWSKY & ASSOC., PC
Entity Type:Organization
Organization Name:DRS. MILLER, SOLOWSKY & ASSOC., PC
Other - Org Name:UNIDENT DENTAL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:S
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:508-668-1151
Mailing Address - Street 1:90 BOSTON PROVIDENCE HWY
Mailing Address - Street 2:WALPOLE MALL
Mailing Address - City:E. WALPOLE
Mailing Address - State:MA
Mailing Address - Zip Code:02032
Mailing Address - Country:US
Mailing Address - Phone:508-668-1151
Mailing Address - Fax:508-668-0640
Practice Address - Street 1:90 BOSTON PROVIDENCE HWY
Practice Address - Street 2:
Practice Address - City:E. WALPOLE
Practice Address - State:MA
Practice Address - Zip Code:02032
Practice Address - Country:US
Practice Address - Phone:508-668-1151
Practice Address - Fax:508-668-0640
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1223E0200X, 1223P0300X, 1223S0112X, 1223X0400X
MA117871223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered1223E0200XDental ProvidersDentistEndodonticsGroup - Multi-Specialty
Not Answered1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty
Not Answered1223P0300XDental ProvidersDentistPeriodonticsGroup - Multi-Specialty
Not Answered1223S0112XDental ProvidersDentistOral and Maxillofacial SurgeryGroup - Multi-Specialty
Not Answered1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAX10192OtherBLUE CROSS BLUE SHIELD