Provider Demographics
NPI:1891724431
Name:MILLER, JOSEPH L (DDS, PA)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:L
Last Name:MILLER
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Gender:M
Credentials:DDS, PA
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Mailing Address - Street 1:3824 N ELM ST
Mailing Address - Street 2:SUITE 209
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27455-2596
Mailing Address - Country:US
Mailing Address - Phone:336-282-7475
Mailing Address - Fax:336-282-7929
Practice Address - Street 1:3824 N ELM ST
Practice Address - Street 2:SUITE 209
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27455-2596
Practice Address - Country:US
Practice Address - Phone:336-282-7475
Practice Address - Fax:336-282-7929
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-03
Last Update Date:2016-09-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC47281223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery