Miller, Dale Edward
Miller, Dale Edward is an individual health care provider with primary practice located at 307 South 11Th Ave , Yakima WA 98902-3256. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Miller, Dale Edward can be contacted via phone (509) 248-5807.Contact Information
Primary practice address
307 South 11Th Ave
Yakima WA 98902-3256
Phone: (509) 248-5807
Fax: (509) 248-5943
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 6486 | Washington |
Profile Details
| NPI number | 1992885826 |
|---|---|
| LBN Legal business name | Miller, Dale Edward |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 16th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992885826 | NPPES |
| Washington | MEDICAID | 5180807 |
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