Miller, Daniel Walter
Miller, Daniel Walter is an individual health care provider with primary practice located at 1616 Azalea Dr , Surfside Beach SC 29575. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Miller, Daniel Walter can be contacted via phone (843) 238-5111.Contact Information
Primary practice address
1616 Azalea Dr
Surfside Beach SC 29575
Phone: (843) 238-5111
Fax: (843) 238-2412
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 4045 | South Carolina |
Profile Details
| NPI number | 1164603429 |
|---|---|
| LBN Legal business name | Miller, Daniel Walter |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 15th, 2007 |
| Last updated | Nov 15th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164603429 | NPPES |
| South Carolina | MEDICAID | ZA9758 SC |
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