Miles, Jerry A

Miles, Jerry A is an individual health care provider with primary practice located at 26317 W Washington Street Building 110, Petersburg VA 23803. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Miles, Jerry A can be contacted via phone (804) 524-7257.

Contact Information

Primary practice address
26317 W Washington Street Building 110 Petersburg VA 23803
Phone: (804) 524-7257
Fax: (804) 524-6496
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 0401005996 Virginia

Profile Details

NPI number 1255408548
LBN Legal business name Miles, Jerry A
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2006
Last updated Jan 11th, 2019 - about 5 years 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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