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Kenneth Gordon Miller, DDS
Oral and Maxillofacial Surgery (Dentist) in Clarks Summit, Pennsylvania
NPI 1255419305

Kenneth Gordon Miller is a Oral and Maxillofacial Surgery (Dentist) based in Clarks Summit, PA and is specialized in Oral and Maxillofacial Surgery. Kenneth Gordon Miller practices in Clarks Summit, PA and has the professional credentials of DDS. The NPI Number for Kenneth Gordon Miller is 1255419305 and holds a License No. 021625L (Pennsylvania).

The current practice location address for Kenneth Gordon Miller is 233 Northern Blvd, Clarks Summit, PA and can be reached out via phone at 570-586-5300 and via fax at 570-586-4720.

Location: 233 Northern Blvd, Clarks Summit, PA, 18411-8720
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1255419305
Provider Name
Kenneth Gordon Miller
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
233 Northern Blvd, Clarks Summit, PA, 18411-8720
Phone Number
570-586-5300
Fax Number
570-586-4720
Provider Enumeration Date
11/02/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00905525 05 PA
institution
Provider Business Practice Location Address Details
Address
233 Northern Blvd
City
Clarks Summit
State
Pennsylvania
Zip
18411-8720
Phone Number
570-586-5300
Fax Number
570-586-4720
person
Provider Business Mailing Address Details
Address
233 Northern Blvd
City
Clarks Summit
State
Pennsylvania
Zip
18411-8720
Phone Number
570-586-5300
Fax Number
570-586-4720
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
021625L (Pennsylvania)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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