Provider Demographics
NPI:1588722409
Name:MILLER, JAMES HIRAM JR (DDS)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:HIRAM
Last Name:MILLER
Suffix:JR
Gender:M
Credentials:DDS
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Mailing Address - Street 1:2461 E 11TH ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:ODESSA
Mailing Address - State:TX
Mailing Address - Zip Code:79761-4271
Mailing Address - Country:US
Mailing Address - Phone:432-333-4123
Mailing Address - Fax:432-333-9069
Practice Address - Street 1:2461 E 11TH ST
Practice Address - Street 2:SUITE B
Practice Address - City:ODESSA
Practice Address - State:TX
Practice Address - Zip Code:79761-4271
Practice Address - Country:US
Practice Address - Phone:432-333-4123
Practice Address - Fax:432-333-9069
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-04
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
TX165241223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry