Miller Dental Clinic Prof LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D1046 Issued in SD

Legal business name

MILLER DENTAL CLINIC PROF LLC

Practice address

107 W 3Rd St
Miller, SD 57362-1324

Phone

(605) 853-3264

NPI assigned

Dec 12, 2017

Last updated

Dec 12, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Frank Patterson, DDSNPI 1043505548

Title

Owner

Phone

(402) 376-3390

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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.

• Frank D Patterson II, D D S

  • Dentist
  • Valentine, NE
  • NPI 1043505548
  Authorized official Same address or phone
• Robert L Swenson, DDS

  • General Practice Dentistry
  • Miller, SD
  • NPI 1790850386
  NPD (past)
• Bradly James Mouritsen, DMD

  • Dentist
  • Naples, FL
  • NPI 1366978082
  NPD (past)

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

{
    "created_epoch": "1513036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513036800000",
    "number": "1124533260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 W 3RD ST",
            "city": "MILLER",
            "state": "SD",
            "postal_code": "573621324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 W 3RD ST",
            "city": "MILLER",
            "state": "SD",
            "postal_code": "573621324",
            "telephone_number": "605-853-3264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLER DENTAL CLINIC PROF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-12",
        "last_updated": "2017-12-12",
        "status": "A",
        "authorized_official_last_name": "PATTERSON",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-376-3390",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SD",
            "license": "D1046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynn Marie Johnson, RPH
• Brittany Bo Kerr, PA-C
• Heather McDonnell
• Trent Steven Merkwan, RPH
• Miller Area School District #29-3
• Miller Rexall Drug Co
• Miller School District 29-4
• Margaret J Miller, CRNA
• Thomas Miner, PA-C
• Larry Nickelson, DC

• General Practice Dentistry in Miller, SD
• Providers in Miller, SD by specialty
• General Practice Dentistry in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2017; 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.