David L. Miller, D,D.S., PA

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

15066 Issued in TX

Legal business name

DAVID L. MILLER, D,D.S., PA

Practice address

6701 Heritage Pkwy
Suite 120
Rockwall, TX 75087-8799

Phone

(972) 412-5857

Fax

(972) 412-5851

NPI assigned

Jun 12, 2012

Organization subpart

No

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

Authorized official

Name

Dr. David L. Miller, D.D.S.

Title

Owner

Phone

(972) 412-5857

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1339459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339459200000",
    "number": "1669734018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6701 HERITAGE PKWY",
            "address_2": "SUITE 120",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750878799",
            "telephone_number": "972-412-5857",
            "fax_number": "972-412-5851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6701 HERITAGE PKWY",
            "address_2": "SUITE 120",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750878799",
            "telephone_number": "972-412-5857",
            "fax_number": "972-412-5851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID L. MILLER, D,D.S., PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-12",
        "last_updated": "2012-06-12",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-412-5857",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TX",
            "license": "15066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Oral and Maxillofacial Surgery (Dentist) in Rockwall, TX
• Providers in Rockwall, TX by specialty
• Oral and Maxillofacial Surgery (Dentist) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2012; 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.