Miller, Joel Simon

Miller, Joel Simon is an individual health care provider with primary practice located at 1100 N College Ave , Fayetteville AR 72703-1944. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Miller, Joel Simon can be contacted via phone (661) 257-5858.

Contact Information

Primary practice address
1100 N College Ave Fayetteville AR 72703-1944
Fax: (661) 257-3660
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 32365 California

Profile Details

NPI number 1487631297
LBN Legal business name Miller, Joel Simon
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 22nd, 2005
Last updated May 12th, 2020 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1487631297 NPPES
California Other 752442 UNITED CONCORDIA

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