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Dr. Glenn A Miller, DDSMS
Oral & Maxillofacial Surgery (D.M.D.) in Belleville, Illinois
NPI 1922198118

Glenn A Miller is a Oral & Maxillofacial Surgery (D.M.D.) based in Belleville, IL. Glenn A Miller practices in Belleville, IL and has the professional credentials of DDSMS. The NPI Number for Glenn A Miller is 1922198118 and holds a License No. 19A13884 (Illinois).

The current practice location address for Glenn A Miller is 10200 West Main Street, Belleville, IL and can be reached out via phone at 618-397-2464 and via fax at 618-398-4450.

Location: 10200 West Main Street, Belleville, IL, 62223-1495
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1922198118
Provider Name
Glenn A Miller
Credential
DDSMS
Provider Entity Type
Individual
Gender
Male
Address
10200 West Main Street, Belleville, IL, 62223-1495
Phone Number
618-397-2464
Fax Number
618-398-4450
Provider Enumeration Date
10/16/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
80115934 01 IL ILLINOIS BLUE SHIELD
679927 01 UNITED CONCORDIA
institution
Provider Business Practice Location Address Details
Address
10200 West Main Street
City
Belleville
State
Illinois
Zip
62223-1495
Phone Number
618-397-2464
Fax Number
618-398-4450
person
Provider Business Mailing Address Details
Address
10200 West Main Street
City
Belleville
State
Illinois
Zip
62223-1495
Phone Number
618-397-2464
Fax Number
618-398-4450
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Oral & Maxillofacial Surgery
Speciality
-
Taxonomy
204E00000X
License No.
19A13884 (Illinois)
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
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