Organization Active NPI

Marlo a. Miller DDS, Ms

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Yukon, OK
National Provider Identifier
1285284919
Registry record updated Sep 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
MARLO A. MILLER DDS, MS
Practice address
816 S Mustang Rd
Yukon, OK 73099-6767
Phone
(405) 577-6453
NPI assigned
Sep 15, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2019

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

Authorized official

Name
Marlo Miller, DDS MS
Title
Owner
Phone
(405) 577-6453

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

816 S Mustang Rd
Yukon, OK 73099-6767

Mailing address

816 S Mustang Rd
Yukon, OK 73099-6767
Phone (405) 577-6453

National Provider Directory

National Provider Directory

Locations

816 S Mustang Rd
Yukon, OK 73099
Phone (405) 577-6453

NPI Registry JSON

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

{
    "created_epoch": "1568505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568505600000",
    "number": "1285284919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "816 S MUSTANG RD",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730996767",
            "telephone_number": "405-577-6453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "816 S MUSTANG RD",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730996767",
            "telephone_number": "405-577-6453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARLO A. MILLER DDS, MS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-15",
        "last_updated": "2019-09-15",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "MARLO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-577-6453",
        "authorized_official_credential": "DDS MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yukon, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2019; 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.