Miller, Kevin Blaine

Miller, Kevin Blaine is an individual health care provider with primary practice located at 1564 Constitution Blvd , Rock Hill SC 29732-3004. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Miller, Kevin Blaine can be contacted via phone (803) 327-1144.

Contact Information

Primary practice address
1564 Constitution Blvd Rock Hill SC 29732-3004
Phone: (803) 327-1144
Fax: (803) 328-2100
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 4079 South Carolina

Profile Details

NPI number 1255411245
LBN Legal business name Miller, Kevin Blaine
Credentials DMD MS DOCTOR OF DEN
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 16th, 2006
Last updated Nov 23rd, 2009 - about 17 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 1255411245 NPPES
South Carolina Other 4079 LIC

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