Miller, Evan N

Miller, Evan N is an individual health care provider with primary practice located at 130 Providence Road , Charlotte NC 28207. He recently has only one registered license in Dental Providers / Endodontics, which is considered as his primary health care specialty. Miller, Evan N can be contacted via phone (704) 377-1444.

Contact Information

Primary practice address
130 Providence Road Charlotte NC 28207
Phone: (704) 377-1444
Fax: (704) 377-1451
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X 5830 North Carolina

Profile Details

NPI number 1619023132
LBN Legal business name Miller, Evan N
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2007
Last updated Jul 8th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1619023132 NPPES
North Carolina MEDICAID 7995971

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