Provider Demographics
NPI:1245258839
Name:MILLER, ANN DANIELS (DDS)
Entity type:Individual
Prefix:DR
First Name:ANN
Middle Name:DANIELS
Last Name:MILLER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:435 LIMEKILN DRIVE
Mailing Address - Street 2:
Mailing Address - City:CHAMBERSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17201-4510
Mailing Address - Country:US
Mailing Address - Phone:717-267-3922
Mailing Address - Fax:717-267-3202
Practice Address - Street 1:435 LIMEKILN DR
Practice Address - Street 2:
Practice Address - City:CHAMBERSBURG
Practice Address - State:PA
Practice Address - Zip Code:17201-4510
Practice Address - Country:US
Practice Address - Phone:717-267-3922
Practice Address - Fax:717-267-3202
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-18
Last Update Date:2020-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS030123332B00000X
PADSO301231223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies