Robert a. Miller, DDS, Ms, P.C.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

011469 Issued in MI

Legal business name

ROBERT A. MILLER, DDS, MS, P.C.

Practice address

2142 Monroe St
Suite B
Dearborn, MI 48124-3057

Phone

(313) 561-0400

Fax

(313) 561-8326

NPI assigned

Mar 27, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Robert A. Miller, DDS, MS

Title

President

Phone

(313) 561-0400

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190937600000",
    "number": "1114045259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2142 MONROE ST",
            "address_2": "SUITE B",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481243057",
            "telephone_number": "313-561-0400",
            "fax_number": "313-561-8326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2142 MONROE ST",
            "address_2": "SUITE B",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481243057",
            "telephone_number": "313-561-0400",
            "fax_number": "313-561-8326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT A. MILLER, DDS, MS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2007-09-28",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-561-0400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MI",
            "license": "011469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Oral and Maxillofacial Surgery (Dentist) in Dearborn, MI
• Providers in Dearborn, MI by specialty
• Oral and Maxillofacial Surgery (Dentist) in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2007; 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.