Miley, D Douglas

Miley, D Douglas is an individual health care provider with primary practice located at 2800 College Ave , Alton IL 62002-4742. He recently has 2 registered licenses in different health care specialties including Dental Providers / Periodontics, Dental Providers / Dentist. Dental Providers / Dentist is his primary health care specialty. Miley, D Douglas can be contacted via phone (618) 474-7149.

Contact Information

Primary practice address
2800 College Ave Alton IL 62002-4742
Phone: (618) 474-7149
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X 014578 Missouri
Dental Providers / Dentist 122300000X 019109418 Illinois

Profile Details

NPI number 1871756130
LBN Legal business name Miley, D Douglas
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2008
Last updated Jan 26th, 2023 - about last year

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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