IndividualActive
John Miller, DDS
NPI 1609843648 · Oral and Maxillofacial Surgery (Dentist) · Meguon, WI
Provider details
- NPI number
- 1609843648
- Entity type
- Individual
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- 4512015 (WI)
Specialties & taxonomies
Dental Providers
Practice location
10521 N Port Washington Rd
Meguon, WI 53092
Phone: (262) 241-0398
Fax: (262) 241-1368
Approximate (ZIP-level) locationGet directions
Mailing address
2323 N Mayfair Rd
Milwaukee, WI 53226-1506
Registry dates
- Enumerated
- 2006-03-08
- Last updated
- 2010-06-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.