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Dr. Coletta M Miller, DDS
Oral and Maxillofacial Surgery (Dentist) in Quincy, Illinois
NPI 1760488514

Coletta M Miller is a Oral and Maxillofacial Surgery (Dentist) based in Quincy, IL and is specialized in Oral and Maxillofacial Surgery. Coletta M Miller practices in Quincy, IL and has the professional credentials of DDS. The NPI Number for Coletta M Miller is 1760488514 and holds a License No. 021-001383 (Illinois).

The current practice location address for Coletta M Miller is 3740 E Lake Ctr, Quincy, IL and can be reached out via phone at 217-224-6789 and via fax at 217-224-9675.

Location: 3740 E Lake Ctr, Quincy, IL, 62305-5805
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Provider Profile Details
NPI Number
1760488514
Provider Name
Coletta M Miller
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
3740 E Lake Ctr, Quincy, IL, 62305-5805
Phone Number
217-224-6789
Fax Number
217-224-9675
Provider Enumeration Date
06/27/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0589937 05 IA
102687 05 IL
institution
Provider Business Practice Location Address Details
Address
3740 E Lake Ctr
City
State
Zip
62305-5805
Phone Number
217-224-6789
Fax Number
217-224-9675
person
Provider Business Mailing Address Details
Address
3740 E Lake Ctr
City
State
Zip
62305-5805
Phone Number
217-224-6789
Fax Number
217-224-9675
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
License No.
021-001383 (Illinois)
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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