Provider Demographics
NPI:1548245616
Name:MILLER, JUNE T (DDS)
Entity Type:Individual
Prefix:DR
First Name:JUNE
Middle Name:T
Last Name:MILLER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5088 S 136TH ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68137-1647
Mailing Address - Country:US
Mailing Address - Phone:402-895-5402
Mailing Address - Fax:402-894-2943
Practice Address - Street 1:5088 S 136TH ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68137-1647
Practice Address - Country:US
Practice Address - Phone:402-895-5402
Practice Address - Fax:402-894-2943
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE5189122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist