Miller, Merrill Brent
Miller, Merrill Brent is an sole proprietor health care provider with primary practice located at 201 South 3Rd St , Mcalester OK 74501. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Miller, Merrill Brent can be contacted via phone (918) 423-1321.Contact Information
Primary practice address
201 South 3Rd St
Mcalester OK 74501
Phone: (918) 423-1321
Fax: (918) 423-1481
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 4698 | Oklahoma |
Profile Details
| NPI number | 1780709659 |
|---|---|
| LBN Legal business name | Miller, Merrill Brent |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 20th, 2007 |
| Last updated | Jun 23rd, 2020 - about 4 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 | 1780709659 | NPPES |
| Oklahoma | MEDICAID | 100107670A |
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