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NPI Code Detail

MEDICARE: SANDRA MILLER HYGIENISTS

MEDICARE: SANDRA MILLER HYGIENISTS
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
1124Q00000XDental Hygienist2902007836MI

General Provider Information

NPI Number : 1639472541
Entity Type Code : Individual
Provider Name (Legal Business Name) : SANDRA MILLER HYGIENISTS
Provider Business Mailing Address
First Line : PO BOX 427
Second Line :
City : HILLMAN
State : MI
Zip : 49746-0427
Country : US
Telephone Number : 989-354-2197
Fax Number : 989-356-6524
Provider Business Practice Location Address
First Line : 11899 M 32
Second Line :
City : ATLANTA
State : MI
Zip : 49709-9374
Country : US
Telephone Number : 989-785-4855
Fax Number : 989-785-2267
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/15/2010
Last Update Date : 12/15/2010

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Directions to “ SANDRA MILLER HYGIENISTS” Practice Location

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