Tessa Miller DDS, Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

TESSA MILLER DDS, INC

Doing business as

Bay Park Dental Group

Practice address

2619 Clairemont Dr
San Diego, CA 92117-6634

Phone

(619) 276-0963

Fax

(619) 276-0452

NPI assigned

Sep 14, 2017

Organization subpart

No

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

Authorized official

Name

Tessa Miller, DDSNPI 1992165377

Title

President

Phone

(619) 276-0963

Specialties & licenses 1

Addresses

Other names 1

• Bay Park Dental Group Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tessa Miller

  • General Practice Dentistry
  • Bronx, NY
  • NPI 1992165377
  Authorized official Same address or phone

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

{
    "created_epoch": "1505347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1114446747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2619 CLAIREMONT DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921176634",
            "telephone_number": "619-276-0963",
            "fax_number": "619-276-0452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2619 CLAIREMONT DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921176634",
            "telephone_number": "619-276-0963",
            "fax_number": "619-276-0452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TESSA MILLER DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-14",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "TESSA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-276-0963",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bay Park Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Adrienne Ann Tesarek, OTR/L,CHT
• Rachel Teschler
• Darren Teshima
• Christine Marie Teske, OTA/L
• Tesla Medical Group
• Adla Tessier, M.D.
• Jeanette Marie Tessier, PHARM D
• Felicia Nicole Tessman
• Debbra Anne Tessmer-Wagner, M.A., L.M.F.T.
• Test San Diego

• Dental Clinic/Center in San Diego, CA
• Providers in San Diego, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.