Miller Dental Clinic Prof LLC

Organization Active NPI General Practice Dentistry · Miller, SD

NPI 1124533260 · NPPES record last updated Dec 12, 2017

Key facts

NPI
1124533260
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
License
D1046 (SD)
Legal business name
MILLER DENTAL CLINIC PROF LLC
Practice address
107 W 3Rd St
Miller, SD 57362-1324
Phone
(605) 853-3264
NPI assigned
Dec 12, 2017
Organization subpart
No

Authorized official

Name
Dr. Frank Patterson, DDS
Title
Owner
Phone
(402) 376-3390

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

107 W 3rd St
Miller, SD 57362
Phone (605) 853-3264

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry
Group: 193400000X SINGLE SPECIALTY GROUP
1223G0001X D1046 SD Yes

Addresses

Primary practice location

107 W 3Rd St
Miller, SD 57362-1324

Mailing address

107 W 3Rd St
Miller, SD 57362-1324

Other providers in Miller, SD

All providers in Miller, SD · General Practice Dentistry in South Dakota

Sources for this page

Verify at the official NPI Registry.