David T Miller DMD LLC

Primary specialty

DentistTaxonomy code 122300000X

License

DENN 4261 Issued in ME

Legal business name

DAVID T MILLER DMD LLC

Doing business as

College Avenue Dental Associates

Practice address

379 College Ave
Orono, ME 04473-4213

Phone

(207) 866-5591

NPI assigned

Sep 6, 2016

Last updated

Sep 6, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. David T Miller, DMDNPI 1033473418

Title

Dentist/Owner

Phone

(954) 330-4049

Specialties & licenses 1

Addresses

Other names 1

• College Avenue Dental Associates Doing business as

Locations

Practitioners 2

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.

• David Thomas Miller, DMD

  • Dentist
  • Orono, ME
  • NPI 1033473418
  NPD (past) Authorized official
• Gary J Farren, DMD

  • General Practice Dentistry
  • Orono, ME
  • NPI 1386857902
  NPD (past)

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

{
    "created_epoch": "1473120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473120000000",
    "number": "1447707633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "379 COLLEGE AVE",
            "city": "ORONO",
            "state": "ME",
            "postal_code": "044734213",
            "telephone_number": "207-866-5591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "379 COLLEGE AVE",
            "city": "ORONO",
            "state": "ME",
            "postal_code": "044734213",
            "telephone_number": "207-866-5591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID T MILLER DMD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-06",
        "last_updated": "2016-09-06",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "954-330-4049",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "ME",
            "license": "DENN 4261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "College Avenue Dental Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Randy Kenneth Cyr Jr., P.T.
• Mary Eileen D'Alessandro, L.C.S.W.
• Jessica Ledier Daigle, LCPC C
• Lauren Marcella Daigle, CRNA
• Lori Joan Dana, MA CCC-SLP
• Kathryn J Day, COTA
• Dennis Mullins PT
• Dignified Medical Care, LLC
• Julie Dinces, RN
• Walter Doerfler, D.O.

• Dentist in Orono, ME
• Providers in Orono, ME by specialty
• Dentist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2016; 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.