Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NICHOLAS G MILLER, D.M.D
Active Sole ProprietorDental Public Health · PONDERAY, ID
Registration Details
- NPI Number
- 1871853739
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 24, 2012 (13.91149760735 yrs)
- Last Updated
- Oct 12, 2016
- License
-
D-4486 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
30410 HIGHWAY 200PONDERAY, ID, 838529601Browse ID providers · Browse ZIP 83852
- Phone
- 2082637101
- Fax
- 2082637198
- Primary Specialty
-
Dental Public Health
1223D0001X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.