DR. CLINTON MILLER DDS NPI 1417026097

NPI Information

  • NPI: 1417026097
  • Provider Name: DR. CLINTON MILLER, DDS
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Individual
  • Address: 419 W SOUTHWEST LOOP 323 STE 300
    TYLER, TX
    ZIP 75701
  • Phone: (903) 251-9292

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NPI Details

DR. Clinton Miller, DDS is a general practice dentist in Tyler, TX. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. DR. Clinton Miller, DDS NPI is 1417026097. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

419 W SOUTHWEST LOOP 323 STE 300
TYLER, TX
ZIP 75701-062
Phone: (903) 251-9292
Fax: (903) 207-8642

The enumeration date for this NPI number is 11/7/2006 and was last updated on 10/9/2024.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice31003TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1418989601MEDICAIDTEXAS

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: 11/21/2025

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