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DR. COLETTA M MILLER D.D.S.
NPI 1760488514
Dentist - Oral and Maxillofacial Surgery in Quincy, IL

Active since June 27, 2005
3740 E LAKE CTR, QUINCY, IL 62305(217) 224-6789(217) 224-9675 Get Directions Write a Review

NPPES record last updated: August 27, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Coletta M Miller D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. COLETTA M MILLER D.D.S. (NPI 1760488514) is an individual oral and maxillofacial surgery provider in Quincy, Illinois, licensed in Illinois (021-001383) and active in the NPI registry since June 2005.

NPPES Registry Identity

NPI1760488514
Entity TypeIndividualFemale
Primary Taxonomy1223S0112X
Provider Legal NameDR. COLETTA M MILLERCredential: D.D.S.
Location Address3740 E LAKE CTRQuincy, IL 62305-5805
Mailing Address3740 E Lake CtrQuincy, IL 62305-5805 · (217) 224-6789 · Fax (217) 224-9675
Phone(217) 224-6789
Fax(217) 224-9675
Sole ProprietorYes
Enumeration DateJune 27, 2005
Last NPPES UpdateAugust 27, 2010
✔ NPI 1760488514 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in IL · 021-001383
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
3740 E LAKE CTR, Quincy, IL 62305
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Other Identifiers 4

Medicare UPINT38443IL
Medicaid0589937IA
Medicare ID-Type Unspecified594-130IL · Medicare
Medicaid102687IL

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MIDWEST FOOT AND ANKLE SPECIALISTS PC
Podiatrist (Foot & Ankle Surgery)
3740 E LAKE CTR
QUINCY, IL 62305
Adams County (217) 223-3668
DR. JANET ELAINE MARTIN DMD
Dentist (General Practice)
3740 E LAKE CTR, SUITE B
QUINCY, IL 62305
Adams County (217) 214-4545
JARED CRUTCHER DMD
Dentist (General Practice)
3740 E LAKE CTR
QUINCY, IL 62305
Adams County (217) 214-4545
SARA RODEFFER D.M.D
Dentist (General Practice)
3740 E LAKE CTR, SUITE B
QUINCY, IL 62305
Adams County (217) 214-4545
MIDWEST ORTHOPEDIC SPECIALISTS INC
Chiropractor (Orthopedic)
3740 E LAKE CTR
QUINCY, IL 62305
Adams County (217) 228-9422

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Coletta Miller's NPI number?

The NPI number for Coletta Miller is 1760488514. It was assigned to this individual provider in the NPPES registry on June 27, 2005.

Where is Coletta Miller located?

Coletta Miller practices at 3740 E Lake Ctr, Quincy, IL 62305. The listed phone number is (217) 224-6789.

What is Coletta Miller's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Coletta Miller was last updated on August 27, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.