Active NPI
Lawrence Gary Miller Jr., D.M.D.
- Endodontics
- Charleston, SC
National Provider Identifier
1053457960
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 784
- Practice address
- 29 Bee St
Charleston, SC 29425-0001 - Phone
- (864) 921-0335
- NPI assigned
- Jan 29, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 4109 | SC | |
| Endodontics | 1223E0200X | 784 | SC | Primary |
Addresses
Primary practice location
29 Bee St
Charleston, SC 29425-0001
Mailing address
400 Sunset Rd
Landrum, SC 29356-8826
Phone (864) 699-9931
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4109 | SC | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Upstate Endodontics, Inc. | Endodontics | Past | Accepting new patients |
| Miller Endodontics, PA | Endodontics | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Endodontics
- Spartanburg, SC
- NPI 1205195047
-
- Endodontics
- Spartanburg, SC
- NPI 1508473265
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769731200000",
"number": "1053457960",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 SUNSET RD",
"city": "LANDRUM",
"state": "SC",
"postal_code": "293568826",
"telephone_number": "864-699-9931",
"fax_number": "864-699-9932"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29 BEE ST",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294250001",
"telephone_number": "864-921-0335"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "LAWRENCE",
"middle_name": "GARY",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-29",
"last_updated": "2026-01-30",
"certification_date": "2026-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "SC",
"license": "4109",
"primary": false
},
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "SC",
"license": "784",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.