Kenneth Bryce Miller, DDS

Dentist · Evergreen Park, IL

Individual Active NPI

NPI number 1255589750

Practice location

2809 W 95TH
Evergreen Park, IL 60805
Phone
(708) 425-3336

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NPI record

NPI
1255589750
Entity type
Individual (Type 1)
Enumeration date
September 9, 2008
Last updated
September 9, 2008
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 019.015505 IL

About Dr. Miller

Kenneth Bryce Miller, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 2809 W 95TH, Evergreen Park, IL 60805. The NPI number 1255589750 was assigned on September 9, 2008 and the record was last updated on September 9, 2008.

Dr. Miller lists a license in the registry: #019.015505 (IL) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Kenneth Bryce Miller, DDS?

The NPI number is 1255589750.

What is the phone number of Dr. Miller?

The phone number listed for the practice location is (708) 425-3336.

Where is Dr. Miller located?

2809 W 95TH, Evergreen Park, IL 60805.

What is the taxonomy code for Dr. Miller?

The primary taxonomy code is 122300000X – Dentist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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