Provider Demographics
NPI:1104946748
Name:MILLER, STEPHEN AARON (DDS)
Entity type:Individual
Prefix:
First Name:STEPHEN
Middle Name:AARON
Last Name:MILLER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 E CHESTNUT ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28801-2379
Mailing Address - Country:US
Mailing Address - Phone:828-252-7304
Mailing Address - Fax:828-252-8094
Practice Address - Street 1:201 E CHESTNUT ST
Practice Address - Street 2:SUITE B
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-2379
Practice Address - Country:US
Practice Address - Phone:828-252-7304
Practice Address - Fax:828-252-8094
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC49291223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice