David Thomas Miller, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DEN4261 Issued in ME

Practice address

379 College Ave
Orono, ME 04473-4213

Phone

(207) 866-5591

NPI assigned

Jun 29, 2012

Last updated

Oct 17, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• David T Miller DMD LLC

  dba College Avenue Dental Associates

  • Dentist
  • Orono, ME
  • NPI 1447707633
  NPD (past) Authorized official
• G. J. Farren, DMD, PC

  • General Practice Dentistry
  • Orono, ME
  • NPI 1912925835
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1340928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697500800000",
    "number": "1033473418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "379 COLLEGE AVE",
            "city": "ORONO",
            "state": "ME",
            "postal_code": "044734213",
            "telephone_number": "207-866-5591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "379 COLLEGE AVE",
            "city": "ORONO",
            "state": "ME",
            "postal_code": "044734213",
            "telephone_number": "207-866-5591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "DAVID",
        "middle_name": "THOMAS",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-29",
        "last_updated": "2023-10-17",
        "certification_date": "2023-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "ME",
            "license": "DEN4261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dara K McIntire, LCSW
• Jody S McKenna, PT
• Lewis E Mehl-Madrona
• Rebecca Ann Schwartz Mette, PH.D.
• Michael Chasse
• Chelsea Rose Mucciarone, LMSW-CC
• Meaghan Neenan, ATC
• Baylee Nicole Newell
• Elexa Nickerson
• Christopher James Nightingale, EDD ATC

• Dentist in Orono, ME
• Providers in Orono, ME by specialty
• Dentist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.