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TESSA MILLER DDS INC NPI 1114446747


NPI Information

NPI: 1114446747
Provider Name: TESSA MILLER DDS, INC

Doing Business As: BAY PARK DENTAL GROUP

Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
2619 CLAIREMONT DR
SAN DIEGO, CA
ZIP 92117
Phone: (619) 276-0963
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TESSA MILLER DDS, INC is a dental clinic center in San Diego, CA. TESSA MILLER DDS, INC NPI is 1114446747. The provider is registered as an organization entity type.
The provider Is Doing Business As Bay Park Dental Group.

The provider's business location address is:

2619 CLAIREMONT DR
SAN DIEGO, CA
ZIP 92117-634
Phone: (619) 276-0963
Fax: (619) 276-0452

The provider's authorized official is Tessa Miller .
The authorized official title is President and has the following contact phone number (619) 276-0963.

The enumeration date for this NPI number is 9/14/2017 and was last updated on 7/21/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QD0000XClinic/CenterDentalYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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