Local City Search for Surgeons and Surgical Clinics DR. GLENN A MILLER DDSMS
Surgery Yellow Pages
Belleville, Illinois
Provider NPI: 1922198118
Provider Information:DR. GLENN A MILLER DDSMS
Practice Location:
10200 WEST MAIN STREET SIGNAL HILL MEDICAL BUILDING BELLEVILLE, IL 62223 US
Tel: 618-397-2464 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 204E00000X | Physicians Oral & Maxillofacial Surgery | IL | 19A13884 |
Other Provider Identifiers:
| Issuer | Number | State | Type |
|---|---|---|---|
| UNITED CONCORDIA | 679927 | 01 | |
| ILLINOIS BLUE SHIELD | 80115934 | IL | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
