Organization Active NPI

Lawrence C. Miller, D.M.D., P.C.

  • Dentist
  • Paoli, PA
National Provider Identifier
1629099775
Registry record updated May 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS-019552 Issued in PA
Legal business name
LAWRENCE C. MILLER, D.M.D., P.C.
Practice address
22 State Rd
Paoli, PA 19301
Phone
(610) 644-5547
Fax
(610) 644-1081
NPI assigned
Jul 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2013

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

Authorized official

Name
Dr. Lawrence Carl Miller, DMDNPI 1558770024
Title
President
Phone
(610) 644-5547

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)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DS-019552 PA Primary

Addresses

Primary practice location

22 State Rd
Paoli, PA 19301

Mailing address

PO Box 905
Paoli, PA 19301-0905
Phone (610) 644-5547

National Provider Directory

National Provider Directory

Locations

22 State Rd
Paoli, PA 19301
Phone (610) 644-5547

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369353600000",
    "number": "1629099775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 905",
            "city": "PAOLI",
            "state": "PA",
            "postal_code": "193010905",
            "telephone_number": "610-644-5547",
            "fax_number": "610-644-1081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 STATE RD",
            "city": "PAOLI",
            "state": "PA",
            "postal_code": "19301",
            "telephone_number": "610-644-5547",
            "fax_number": "610-644-1081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWRENCE C. MILLER, D.M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2013-05-24",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "CARL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-644-5547",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS-019552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paoli, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2013; 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.