Provider Demographics
NPI:1578303491
Name:MILLER, JEFFREY AUSTIN (DDS)
Entity type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:AUSTIN
Last Name:MILLER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10530 HARRISON AVE # B
Mailing Address - Street 2:
Mailing Address - City:HARRISON
Mailing Address - State:OH
Mailing Address - Zip Code:45030-2141
Mailing Address - Country:US
Mailing Address - Phone:513-367-2999
Mailing Address - Fax:
Practice Address - Street 1:10530 HARRISON AVE # B
Practice Address - Street 2:
Practice Address - City:HARRISON
Practice Address - State:OH
Practice Address - Zip Code:45030-2141
Practice Address - Country:US
Practice Address - Phone:513-367-2999
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-29
Last Update Date:2024-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30.027498122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist