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NPI 1740484484 · live from the CMS NPI Registry

Brian H. Miller

Dentist, Orthodontics and Dentofacial Orthopedics in Concord, MA. National Provider Identifier 1740484484, active.

NPI record

NPI1740484484 Type 2 · organization
StatusActive
Primary specialtyDentist, Orthodontics and Dentofacial Orthopedics 1223X0400X
Practice location801 Main St, Concord, MA 01742
Practice phone197-836-9470
Mailing address23 Locke Rd, Waban, MA 02468
EnumeratedJune 14, 2007
Last updatedAugust 22, 2020
Authorized officialJo-Ann Allen, Office Manager

Taxonomies and licenses

TaxonomyCodeLicense
Dentist, Orthodontics and Dentofacial Orthopedics primary1223X0400X12230 (MA)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.