Provider Demographics
NPI:1639275837
Name:MILLER, HENRY A (DDS, MS)
Entity Type:Individual
Prefix:DR
First Name:HENRY
Middle Name:A
Last Name:MILLER
Suffix:
Gender:M
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:240 TOLL GATE HILL RD
Mailing Address - Street 2:CHAMBER OF COMMERCE BLDG-LOWER LEVEL
Mailing Address - City:GREENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15601
Mailing Address - Country:US
Mailing Address - Phone:724-834-3324
Mailing Address - Fax:724-834-3325
Practice Address - Street 1:240 TOLL GATE HILL RD
Practice Address - Street 2:CHAMBER OF COMMERCE BLDG-LOWER LEVEL
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601
Practice Address - Country:US
Practice Address - Phone:724-834-3324
Practice Address - Fax:724-834-3325
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS029627L1223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAV03951Medicare UPIN