IndividualActive
Derek Miller, DDS
NPI 1205366002 · Oral and Maxillofacial Surgery (Dentist) · Minneapolis, MN
Provider details
- NPI number
- 1205366002
- Entity type
- Individual
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- R674 (MN)
Specialties & taxonomies
Dental Providers
Practice location
7-174 Moos Tower 515 Delaware St. S
U of M Oral Surgery
Minneapolis, MN 55455
Phone: (701) 306-4741
Approximate (ZIP-level) locationGet directions
Mailing address
1342 Territory Dr
Bismarck, ND 58503-0168
Registry dates
- Enumerated
- 2017-06-14
- Last updated
- 2017-06-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.