Provider Demographics
NPI:1548377245
Name:MILLER, STEVEN C (DDS)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:C
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:PO BOX 420
Mailing Address - Street 2:21ST CENTURY DR
Mailing Address - City:NEW BERLIN
Mailing Address - State:PA
Mailing Address - Zip Code:17844-0000
Mailing Address - Country:US
Mailing Address - Phone:570-966-1280
Mailing Address - Fax:570-966-2155
Practice Address - Street 1:21ST CENTURY DR
Practice Address - Street 2:
Practice Address - City:NEW BERLIN
Practice Address - State:PA
Practice Address - Zip Code:17844-0000
Practice Address - Country:US
Practice Address - Phone:570-966-1280
Practice Address - Fax:570-966-2155
Is Sole Proprietor?:No
Enumeration Date:2006-08-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS020104L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice