Organization · Type 2 NPI

Jack W Miller DDS PA

Dental Clinic/Center · Wichita, KS

NPI number 1639345606 Active

Practice location

2203 Sweetbriar St
Wichita, KS 67204-5518

Call (316) 838-1300 Map

Fax (316) 838-1355

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000X5448 (KS)

Dental Clinic/Center: Definition to come...

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About NPI 1639345606

Jack W Miller DDS PA's National Provider Identifier is 1639345606, issued on Apr 30, 2008. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Wichita, KS. The record was last updated on Apr 30, 2008.