David L Miller DDS PC

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

Organization subpart

Yes

Parent organization

DAVID L MILLER DDSAs reported in NPPES

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

Authorized official

Name

David L Miller, DDS

Title

Owner

Phone

(810) 694-2270

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

David L Miller DDS PC

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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4056318",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Antony James Daros, DO
• Evtishios James Daros, D.O.
• Kanea Darrough
• Megan Dart, D.P.T.
• Melissa Sue Dausman
• Doina David, MD
• Emily J Davidow, DO
• Elizabeth Davis, DPT
• Jamarea Davis
• Jewel Davis

• General Practice Dentistry in Grand Blanc, MI
• Providers in Grand Blanc, MI by specialty
• General Practice Dentistry in Michigan

• 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.