Provider Demographics
NPI:1396967915
Name:MILLER, NEIL THOMAS (DDS MS)
Entity type:Individual
Prefix:DR
First Name:NEIL
Middle Name:THOMAS
Last Name:MILLER
Suffix:
Gender:M
Credentials:DDS MS
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Mailing Address - Street 1:595 N DOBSON RD
Mailing Address - Street 2:B 24
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85224
Mailing Address - Country:US
Mailing Address - Phone:480-663-3000
Mailing Address - Fax:480-663-3003
Practice Address - Street 1:595 N DOBSON RD
Practice Address - Street 2:B 24
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85224
Practice Address - Country:US
Practice Address - Phone:480-663-3000
Practice Address - Fax:480-663-3003
Is Sole Proprietor?:No
Enumeration Date:2007-05-03
Last Update Date:2011-03-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZAZ53981223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics