Provider Demographics
NPI:1942385927
Name:MILLER, ALAN (DDS)
Entity Type:Individual
Prefix:DR
First Name:ALAN
Middle Name:
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 1:4099 WILLIAM PENN HWY
Mailing Address - Street 2:611 JONNET BUILDING
Mailing Address - City:MONROEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15146-2521
Mailing Address - Country:US
Mailing Address - Phone:412-856-0202
Mailing Address - Fax:
Practice Address - Street 1:4099 WILLIAM PENN HWY
Practice Address - Street 2:611 JONNET BUILDING
Practice Address - City:MONROEVILLE
Practice Address - State:PA
Practice Address - Zip Code:15146-2521
Practice Address - Country:US
Practice Address - Phone:412-856-0202
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS023128L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice