MEDICARE: DR. ROBERT J. MILLER D.M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223P0300X	Periodontics	DN 10117	FL

General Provider Information

NPI Number	:	1235283177
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT J. MILLER D.M.D.

Provider Business Mailing Address
First Line	:	8903 GLADES RD STE D6
Second Line	:
City	:	BOCA RATON
State	:	FL
Zip	:	33434-4023
Country	:	US
Telephone Number	:	567-451-4343
Fax Number	:	561-852-4369

Provider Business Practice Location Address
First Line	:	8903 GLADES RD STE D6
Second Line	:
City	:	BOCA RATON
State	:	FL
Zip	:	33434-4023
Country	:	US
Telephone Number	:	567-451-4343
Fax Number	:	561-852-4369

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/22/2007
Last Update Date	:	07/08/2007

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