Provider Demographics
NPI:1508072984
Name:MILLER, SCOTT W (DDS)
Entity Type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:W
Last Name:MILLER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:223 W CRAWFORD ST
Mailing Address - Street 2:
Mailing Address - City:FINDLAY
Mailing Address - State:OH
Mailing Address - Zip Code:45840-3203
Mailing Address - Country:US
Mailing Address - Phone:419-422-5901
Mailing Address - Fax:419-422-5954
Practice Address - Street 1:223 W CRAWFORD ST
Practice Address - Street 2:
Practice Address - City:FINDLAY
Practice Address - State:OH
Practice Address - Zip Code:45840-3203
Practice Address - Country:US
Practice Address - Phone:419-422-5901
Practice Address - Fax:419-422-5954
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH189891223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice