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
Phone: (661) 257-5858
Fax: (661) 257-3660
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1487631297 | NPPES |
California | Other | 752442 | UNITED CONCORDIA |
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