Provider Demographics
NPI:1427101997
Name:MILLER, MICHAEL JOE (DDS)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:JOE
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 1:16350 E ARAPAHOE RD UNIT 114
Mailing Address - Street 2:
Mailing Address - City:FOXFIELD
Mailing Address - State:CO
Mailing Address - Zip Code:80016-1557
Mailing Address - Country:US
Mailing Address - Phone:720-870-0401
Mailing Address - Fax:720-266-6185
Practice Address - Street 1:16350 E ARAPAHOE RD UNIT 114
Practice Address - Street 2:
Practice Address - City:FOXFIELD
Practice Address - State:CO
Practice Address - Zip Code:80016-1557
Practice Address - Country:US
Practice Address - Phone:720-870-0401
Practice Address - Fax:720-266-6185
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-19
Last Update Date:2011-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO7083122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist