Tri-County Orthodontics, Associates, LTD

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DE015380 Issued in MO

Legal business name

TRI-COUNTY ORTHODONTICS, ASSOCIATES, LTD

Practice address

1015 Washington Square Shopping Ctr Ste G
Washington, MO 63090-5307

Phone

(636) 239-4004

Fax

(636) 239-6576

NPI assigned

Apr 24, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Jacqueline M. Miller, DDS, MSNPI 1578567400

Title

Orthodontist

Phone

(636) 239-4004

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Jacqueline Marie Miller, DDS, MS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Washington, MO
  • NPI 1578567400
  NPD (past) Authorized official

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

{
    "created_epoch": "1208995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208995200000",
    "number": "1649445321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015-G WASHINGTON SQUARE SHOPPING CENTER",
            "city": "WASHINGTON",
            "state": "MO",
            "postal_code": "63090",
            "telephone_number": "636-239-4004",
            "fax_number": "636-239-6576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 WASHINGTON SQUARE SHOPPING CTR STE G",
            "city": "WASHINGTON",
            "state": "MO",
            "postal_code": "630905307",
            "telephone_number": "636-239-4004",
            "fax_number": "636-239-6576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-COUNTY ORTHODONTICS, ASSOCIATES, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-24",
        "last_updated": "2008-04-24",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "636-239-4004",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MO",
            "license": "DE015380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jean Carolyn Tobben, MSW,LCSW
• Mark Tobben, D.D.S.
• Total Access Urgent Care, PC
• Total Renal Care Inc
• Transitions Counseling Services LLC
• Tri-County Surgery
• Leslie E Tucker, M.D.
• Reyna Suhail Tulais Guerra, RN
• James D Turner, M.D.
• Sandra Frances Turner, P.T.A.

• Dental Clinic/Center in Washington, MO
• Providers in Washington, MO by specialty
• Dental Clinic/Center in Missouri

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

Verify at the official NPI Registry.