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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: July 19, 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
MIDWEST ORTHOPEDIC SPECIALISTS INC
Chiropractor (Orthopedic)
3740 E LAKE CTR
QUINCY, IL 62305
Adams County (217) 228-9422
DR. JANET ELAINE MARTIN DMD
Dentist (General Practice)
3740 E LAKE CTR, SUITE B
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
JARED CRUTCHER DMD
Dentist (General Practice)
3740 E LAKE CTR
QUINCY, IL 62305
Adams County (217) 214-4545

Frequently Asked Questions

What is Coletta Miller's NPI number?

The NPI number assigned to this healthcare provider is 1760488514, enumerated as an "individual" on June 27, 2005.

Where is the provider located?

The provider is located at 3740 E LAKE CTR QUINCY, IL 62305 and the phone number is (217) 224-6789.

What is the provider's specialty?

Dentist with taxonomy code 1223S0112X and a focus in Oral and Maxillofacial Surgery.

What insurance does Coletta Miller accept?

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.