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General NPI Number Information
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NPI Number | 1578990131
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Entity Type | Organization
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Legal Business Name | DENNIS J. MILLER, D.D.S., P.C.
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Dates
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Enumeration Date | 09/27/2013
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Last Update Date | 09/27/2013
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Provider Practice Location Address
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Address Line | 500 N MICHIGAN AVE STE 500
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City | CHICAGO
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State | IL
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Zip | 60611-3777
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Country | US
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Telephone | 312-642-2299
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Fax |
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Provider Business Mailing Address
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Address Line | 500 N MICHIGAN AVE STE 500
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City | CHICAGO
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State | IL
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Zip | 60611-3777
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Country | US
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Telephone | 312-642-2299
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DENNIS JOEL MILLER
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Credential | D.D.S.
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Telephone | 312-642-2299
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 19014231
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License Number State | IL
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