Individual provider · Type 1 NPI
Kenneth Gordon Miller, DDS
Oral and Maxillofacial Surgery (Dentist) · Clarks Summit, PA
NPI number
1255419305
Active
Practice location
233 Northern Blvd, Ste 5
Clarks Summit, PA 18411-8720
Fax (570) 586-4720
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 021625L (PA) |
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.
2 other providers at this address
About NPI 1255419305
Kenneth Gordon Miller, DDS's National Provider Identifier is 1255419305, issued on Nov 2, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Clarks Summit, PA. The record was last updated on Feb 28, 2017.