Madison, Miles

Madison, Miles is an individual health care provider with primary practice located at 350 S Beverly Dr Ste 160 , Beverly Hills CA 90212-4815. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Madison, Miles can be contacted via phone (310) 553-2940.

Contact Information

Primary practice address
350 S Beverly Dr Ste 160 Beverly Hills CA 90212-4815
Phone: (310) 553-2940
Fax: (310) 553-5096
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X 37446 California

Profile Details

NPI number 1477687580
LBN Legal business name Madison, Miles
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2007
Last updated May 21st, 2024 - about 4 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477687580 NPPES
California MEDICAID B37446

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