Mark D, Millerddspsc

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

MARK D, MILLERDDSPSC

Practice address

320 Cool Water CT
Hopkinsville, KY 42240-8738

Phone

(270) 885-0165

Fax

(270) 886-2224

NPI assigned

Feb 13, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Mark Delmar Miller, DDS

Title

President

Phone

(270) 885-0165

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1202860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207094400000",
    "number": "1184892010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 COOL WATER CT",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422408738",
            "telephone_number": "270-885-0165",
            "fax_number": "270-886-2224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 COOL WATER CT",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422408738",
            "telephone_number": "270-885-0165",
            "fax_number": "270-886-2224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK D, MILLERDDSPSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-13",
        "last_updated": "2008-04-02",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "DELMAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "270-885-0165",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Oral and Maxillofacial Surgery (Dentist) in Hopkinsville, KY
• Providers in Hopkinsville, KY by specialty
• Oral and Maxillofacial Surgery (Dentist) in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2008; 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.