John Miller, D.D.S

NPI 1871762773 · on the registry since 2008 · sole proprietor

Practice

Address: 5800 Godfrey Rd
Godfrey, IL 62035
Phone: (618) 468-4414
Fax: (618) 468-2394
Organisation at this address: Community College District 536
Lewis And Clark Community College
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 5

Registry record

Primary taxonomy: 122300000X
122300000X
Licence states on file: IL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2008-02-25

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 Illinois