Miller, Randall Armand
Miller, Randall Armand is an individual health care provider with primary practice located at 66 Colchester Avenue , Burlington VT 05401. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Miller, Randall Armand can be contacted via phone (802) 862-8348.Contact Information
Primary practice address
66 Colchester Avenue
Burlington VT 05401
Phone: (802) 862-8348
Fax: (802) 862-6823
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 954 | Vermont |
Profile Details
| NPI number | 1255417473 |
|---|---|
| LBN Legal business name | Miller, Randall Armand |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 31st, 2006 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255417473 | NPPES |
| Vermont | MEDICAID | 0002494 | |
| Vermont | MEDICAID | 1003068 | |
| Vermont | Other | 908887 |
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