Individual provider · Type 1 NPI

Coletta M. Miller, DDS

Oral and Maxillofacial Surgery (Dentist) · Quincy, IL

NPI number 1760488514 Active

Practice location

3740 E Lake Ctr
Quincy, IL 62305-5805

Fax (217) 224-9675

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X021-001383 (IL)

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 1760488514

Coletta M. Miller, DDS's National Provider Identifier is 1760488514, issued on Jun 27, 2005. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Quincy, IL. The record was last updated on Aug 27, 2010.