Provider Demographics
NPI:1538159363
Name:MILLER, HOWARD WILLIAM (DDS MBA)
Entity type:Individual
Prefix:DR
First Name:HOWARD
Middle Name:WILLIAM
Last Name:MILLER
Suffix:
Gender:M
Credentials:DDS MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6034 UNITY PASS
Mailing Address - Street 2:
Mailing Address - City:GROVELAND
Mailing Address - State:FL
Mailing Address - Zip Code:34736-9640
Mailing Address - Country:US
Mailing Address - Phone:703-919-0002
Mailing Address - Fax:703-919-0002
Practice Address - Street 1:2000 W GRANDVIEW BLVD
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16509-1029
Practice Address - Country:US
Practice Address - Phone:814-868-1001
Practice Address - Fax:814-868-1039
Is Sole Proprietor?:No
Enumeration Date:2005-10-24
Last Update Date:2021-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN23871122300000X
PADS039791122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist