Provider Demographics
NPI:1235349606
Name:MILLER, STEVEN HOWARD (DMD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:HOWARD
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 1:1492 BARNES DR
Mailing Address - Street 2:
Mailing Address - City:WOOSTER
Mailing Address - State:OH
Mailing Address - Zip Code:44691-4502
Mailing Address - Country:US
Mailing Address - Phone:330-262-7986
Mailing Address - Fax:
Practice Address - Street 1:621 QUINBY AVE
Practice Address - Street 2:
Practice Address - City:WOOSTER
Practice Address - State:OH
Practice Address - Zip Code:44691-2831
Practice Address - Country:US
Practice Address - Phone:330-264-9799
Practice Address - Fax:330-262-4121
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH198911223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice