MILLER DENTAL PLLC NPI 1730699802

NPI Information

NPI: 1730699802
Provider Name: MILLER DENTAL PLLC

Doing Business As: MILLER DENTAL & ORTHODONTICS

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

Specialization: Dental

Address:
3307 MILLER AVE SUITE #A
FORT WORTH, TX
ZIP 76119
Phone: (817) 413-6000
Get Directions

MILLER DENTAL PLLC is a dental clinic center in Fort Worth, TX. MILLER DENTAL PLLC NPI is 1730699802. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Miller Dental & Orthodontics.

The provider's business location address is:

3307 MILLER AVE SUITE #A
FORT WORTH, TX
ZIP 76119
Phone: (817) 413-6000
Fax: (817) 413-6000

The provider's authorized official is Phuong Do .
The authorized official title is Owner and has the following contact phone number (817) 413-6000.

The enumeration date for this NPI number is 10/3/2017 and was last updated on 3/14/2024.

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
1	1223G0001X	Dentist	General Practice	22079	TEXAS	No
2	261QD0000X	Clinic/Center	Dental			Yes

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
1	272246221	MEDICAID	TEXAS

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

NPI Synchronization or Removal

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