Individual provider · Type 1 NPI

Derek Miller, DDS

Oral and Maxillofacial Surgery (Dentist) · Minneapolis, MN

NPI number 1205366002 Active

Practice location

7-174 Moos Tower 515 Delaware St. S, U Of M Oral Surgery
Minneapolis, MN 55455

Mailing address

1342 Territory Dr
Bismarck, ND 58503-0168

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XR674 (MN)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1205366002

Derek Miller, DDS's National Provider Identifier is 1205366002, issued on Jun 14, 2017. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Minneapolis, MN. The record was last updated on Jun 14, 2017.