Addison Miller, DDS
Dentist in Charles City, IA. Individual provider (NPI-1).
NPI number1164047148
StatusActive
Last updated in NPPESJun 15, 2020
Details
- NPI
- 1164047148
- Entity type
- Individual (NPI-1)
- Name
- Addison Miller
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 15, 2020
- Certification date
- Jun 15, 2020
- Last updated
- Jun 15, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | DDS-09778 | IA | Yes |
Practice location
114 N Main StCharles City, IA 50616-2015
Phone 641-228-1803
Mailing address
206 Meadow LnCharles City, IA 50616-4006
Phone 515-341-6515
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