Miller, Jason

Miller, Jason is an individual health care provider with primary practice located at 1800 Galleria Blvd Space 1360, Franklin TN 37067-1605. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Miller, Jason can be contacted via phone (615) 771-8809.

Contact Information

Primary practice address
1800 Galleria Blvd Space 1360 Franklin TN 37067-1605
Fax: (615) 771-8805
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 8072 Tennessee

Profile Details

NPI number 1417003963
LBN Legal business name Miller, Jason
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2007
Last updated Jul 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417003963 NPPES
Tennessee MEDICAID 17957

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