Provider Demographics
NPI:1598870701
Name:MILLER, HUGH JAMES (DDS)
Entity Type:Individual
Prefix:DR
First Name:HUGH
Middle Name:JAMES
Last Name:MILLER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:DR
Other - First Name:H
Other - Middle Name:JAMES
Other - Last Name:MILLER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:420 NW 74 AVENUE
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33317
Mailing Address - Country:US
Mailing Address - Phone:954-583-1514
Mailing Address - Fax:954-583-7064
Practice Address - Street 1:420 NW 74 AVENUE
Practice Address - Street 2:
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33317
Practice Address - Country:US
Practice Address - Phone:954-583-1514
Practice Address - Fax:954-583-7064
Is Sole Proprietor?:No
Enumeration Date:2006-08-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN001113171223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics