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MILLER DENTAL HEALTH NPI 1669750717


NPI Information

NPI: 1669750717
Provider Name: MILLER DENTAL HEALTH
Classification: Dentist - 1223P0221X
Entity Type: Organization

Specialization: Pediatric Dentistry

Address:
4250 FARONIA RD
MEMPHIS, TN
ZIP 38116
Phone: (901) 332-8893
Get Directions

MILLER DENTAL HEALTH is a pediatric dentistry dentist in Memphis, TN. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. MILLER DENTAL HEALTH NPI is 1669750717. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4250 FARONIA RD
MEMPHIS, TN
ZIP 38116-527
Phone: (901) 332-8893
Fax: (901) 332-8895

The provider's authorized official is Rodric Ledell Miller .
The authorized official title is President/dentist and has the following contact phone number 90137375433.

The enumeration date for this NPI number is 7/22/2011 and was last updated on 7/22/2011.


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
11223P0221XDentistPediatric DentistryDS0000007946TENNESSEEYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11521792MEDICAIDTENNESSEE

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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