Search › Virginia › 122300000X
Jerry Miles, DDS
NPI 1255408548 · on the registry since 2006
Practice
- Address
- 26317 W Washington Street
Building 110
Petersburg, VA 23803 - Phone
- (804) 524-7257
- Fax
- (804) 524-6496
- Organisation at this address
- Community Resource Pharmacy
Southside Virginia Traninng Center
Southside Virginia Training Center
Commonwealth Of Va Hiram W Davis Medical Center
Commonwealth Of Va Hiram W Davis Medical CenterInferred from a shared address, not stated in the registry. - Clinicians at this address
- 24
Additional practice sites
- 8659 Sudley Rd, Manassas, VA
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- VA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-01-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia