Miller, Jennifer Rose

Miller, Jennifer Rose is an individual health care provider with primary practice located at 1302 Marshall St , St. Peter MN 56082. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Miller, Jennifer Rose can be contacted via phone (507) 934-3332.

Contact Information

Primary practice address
1302 Marshall St St. Peter MN 56082
Phone: (507) 934-3332
Fax: (507) 934-3336
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X D11490 Minnesota

Profile Details

NPI number 1871544940
LBN Legal business name Miller, Jennifer Rose
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date May 13th, 2006
Last updated Apr 29th, 2015 - about 11 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 1871544940 NPPES
Minnesota MEDICAID 886473000
Minnesota Other D11490

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