Nathan King Miller, D.D.S.
Individual provider Active NPI General Practice Dentistry · Ocean Park, WA
NPI 1104293877 · NPPES record last updated Mar 16, 2020
Key facts
- NPI
- 1104293877
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- DE60938377 (WA)
- Practice address
- 21610 Pacific Hwy
Ocean Park, WA 98640-3206 - Phone
- (360) 665-3000
- NPI assigned
- Aug 28, 2015
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2015018855 | MO | MD | Dentist |
Interoperability endpoints
- nathan.miller.p1@direct.pueblochc.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 2015018855 | MO | |
| General Practice Dentistry | 1223G0001X | DE60938377 | WA | Yes |
Addresses
Primary practice location
21610 Pacific Hwy
Ocean Park, WA 98640-3206
Mailing address
2813 Fiddleback St NE
Lacey, WA 98516-4426
Phone (316) 393-4493
Other practice location 1
5122 Yelm Hwy SE
Lacey, WA 98503-5034
Phone (360) 528-7878
Other practice location 2
Building 3406 Alder Ave.
Fort Wainwright, AK 99703-1529
Phone (907) 353-2917
Other providers in Ocean Park, WA
- Nyna Rose Krause/Beadle
- Mihaela Lebo
- Jerome March
- April McCune
- Kevin P McGinley
- Terri Miller
- Pacific County Fire Protection District 1
- Peninsula Pharmacies Inc.
- Public Hospital District 3 of Pacific County
- Real Talk Counseling, PLLC
All providers in Ocean Park, WA · General Practice Dentistry in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 16, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.