Lynn Michelle Pruisner Miller, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DEN.00203135 Issued in CO

Practice address

2330 E Arapahoe Rd Ste 900
Centennial, CO 80122-3299

Phone

(303) 730-3910

NPI assigned

Apr 25, 2016

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Lynn Michelle Pruisner Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Southglenn Modern Dentistry, LLP

  dba Southglenn Modern Dentisrty

  • General Practice Dentistry
  • Centennial, CO
  • NPI 1194957415
  NPD (past)

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

{
    "created_epoch": "1461542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1053766345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7227 MOUNTAIN BRUSH LN",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801305314",
            "telephone_number": "303-847-7346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2330 E ARAPAHOE RD STE 900",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801223299",
            "telephone_number": "303-730-3910"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13001 E. 17th Place",
            "address_2": "University of Colorado School of Medicine GME",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "800452581",
            "country_code": "US",
            "telephone_number": "303-847-7346",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "LYNN",
        "middle_name": "MICHELLE PRUISNER",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-25",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "DEN.00203135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LYNN",
            "last_name": "PRUISNER",
            "middle_name": "MICHELLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Emily Miller
• Jaime Miller
• Kathryn Noel Miller, PHARMD
• Kendall Miller
• Kori Loreen Propst Miller, LPC, LPCC, LMHC, PHD
• Michael Troy Miller, DMD
• Michele B Miller IV, M.D.
• Sandra Annetta Miller, PT, CIE
• Stephanie Beth Miller, ARNP FNP-BC
• Suzanne K Miller, DPT

• General Practice Dentistry in Centennial, CO
• Providers in Centennial, CO by specialty
• General Practice Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.