Organization Active NPI

David L Miller DDS PC

  • General Practice Dentistry
  • Grand Blanc, MI
National Provider Identifier
1265670608
Registry record updated Jan 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
10006 Issued in MI
Legal business name
DAVID L MILLER DDS PC
Practice address
6011 Porter Rd
Grand Blanc, MI 48439-8538
Phone
(810) 694-2270
Fax
(810) 694-2129
NPI assigned
Jan 22, 2009
Last updated
Jan 22, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
DAVID L MILLER DDSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 22, 2009

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

Authorized official

Name
David L Miller, DDSNPI 1669496006
Title
Owner
Phone
(810) 694-2270

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 10006 MI Primary

Addresses

Primary practice location

6011 Porter Rd
Grand Blanc, MI 48439-8538

Mailing address

6011 Porter Rd
Grand Blanc, MI 48439-8538
Phone (810) 694-2270

National Provider Directory

National Provider Directory
Part of
David L Miller DDS PC

Locations

6011 Porter Rd
Grand Blanc, MI 48439
Phone (810) 694-2270

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1232582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232582400000",
    "number": "1265670608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6011 PORTER RD",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484398538",
            "telephone_number": "810-694-2270",
            "fax_number": "810-694-2129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6011 PORTER RD",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484398538",
            "telephone_number": "810-694-2270",
            "fax_number": "810-694-2129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID L MILLER DDS PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DAVID L MILLER DDS",
        "enumeration_date": "2009-01-22",
        "last_updated": "2009-01-22",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "810-694-2270",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "10006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Blanc, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2009; 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.