Miller, John Balton
Miller, John Balton is an sole proprietor health care provider with primary practice located at 103 Medical Dr , Dothan AL 36303-6903. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Miller, John Balton can be contacted via phone (334) 793-7232.Contact Information
Primary practice address
103 Medical Dr
Dothan AL 36303-6903
Phone: (334) 793-7232
Fax: (334) 712-7720
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Periodontics | 1223P0300X | 4183 | Alabama |
Profile Details
| NPI number | 1992720973 |
|---|---|
| LBN Legal business name | Miller, John Balton |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 12th, 2006 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992720973 | NPPES |
| Alabama | Other | 4183 | STATE LICENSE # |
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