Active NPI
Phillip H. Miller
- Pediatric Dentistry
- Augusta, GA
National Provider Identifier
1437299542
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- DN007974
- Legal business name
- PHILLIP H. MILLER
- Practice address
- 104 Kings Chapel Rd
Augusta, GA 30907-4001 - Phone
- (706) 860-2244
- Fax
- (706) 860-2248
- NPI assigned
- Feb 7, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Phillip H Miller, DMD
- Title
- Dentist
- Phone
- (706) 860-2244
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | DN007974 | GA | Primary |
Addresses
Primary practice location
104 Kings Chapel Rd
Augusta, GA 30907-4001
Mailing address
104 Kings Chapel Rd
Augusta, GA 30907-4001
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000050421A | Medicaid | GA |
Other names 1
- Augusta Pediatric Dentistry
National Provider Directory
National Provider DirectoryLocations
104 Kings Chapel Rd
Augusta, GA 30907
Phone (706) 860-2244
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatric Dentistry
- Augusta, GA
- NPI 1922188085
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170806400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1227225600000",
"number": "1437299542",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 KINGS CHAPEL RD",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309074001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 KINGS CHAPEL RD",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309074001",
"telephone_number": "706-860-2244",
"fax_number": "706-860-2248"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHILLIP H. MILLER",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-07",
"last_updated": "2008-11-21",
"status": "A",
"authorized_official_last_name": "MILLER",
"authorized_official_first_name": "PHILLIP",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "DENTIST",
"authorized_official_telephone_number": "706-860-2244",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Pediatric Dentistry",
"state": "GA",
"license": "DN007974",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000050421A",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Augusta Pediatric Dentistry",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Augusta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 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.