National Provider Identifier
Russell Stephen Miller, DDS
Russell Stephen Miller, DDS is listed in the NPPES registry with a primary specialty of General Practice Dentistry in Rochester, NY and a listed phone number of (585) 442-0990.
Profile Overview
- NPI
- 1982759429
- Provider Type
- Individual
- Primary Specialty
- General Practice Dentistry
- Enumeration Date
- January 24, 2007
- Last Updated
- April 11, 2014
Practice Location
- 1815 Clinten Ave South
- Suite 640
- Rochester, NY 14618
Phone: (585) 442-0990
Specialties
- General Practice Dentistry (1223G0001X)
Full Record
- NPI
- 1982759429
- Entity Type
- Individual
- Last Name
- Miller
- First Name
- Russell
- Middle Name
- Stephen
- Name Prefix
- Dr.
- Credential
- DDS
- Mailing Street Address
- 1815 Clinten Ave South
- Mailing Address Line 2
- Suite 640
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14618
- Mailing Country
- US
- Mailing Phone
- (585) 442-0990
- Mailing Fax
- (585) 442-7310
- Practice Street Address
- 1815 Clinten Ave South
- Practice Address Line 2
- Suite 640
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14618
- Practice Country
- US
- Practice Phone
- (585) 442-0990
- Practice Fax
- (585) 942-7310
- Enumeration Date
- January 24, 2007
- Last Updated
- April 11, 2014
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- General Practice Dentistry (1223G0001X)
- Other Identifiers
- 00463272 (NY), 7696 (NY, Excellus Blue Cross Blue)