Miller Dentistry LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

019025803 Issued in IL

Legal business name

MILLER DENTISTRY LLC

Practice address

404 Randall Road
South Elgin, IL 60177

Phone

(312) 343-2934

NPI assigned

May 20, 2009

Last updated

May 20, 2009By 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. Angela Marie Miller, D.D.S.

Title

Owner Dentist

Phone

(312) 343-2934

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1242777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242777600000",
    "number": "1679708572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1445 W BELDEN AVE",
            "address_2": "UNIT 1 B",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606143070",
            "telephone_number": "312-343-2934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 RANDALL ROAD",
            "city": "SOUTH ELGIN",
            "state": "IL",
            "postal_code": "60177",
            "telephone_number": "312-343-2934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLER DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-20",
        "last_updated": "2009-05-20",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "312-343-2934",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IL",
            "license": "019025803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phillip Mendoza
• Karen Merrill, RPH
• Michael Mesina, PT
• Michael J. Whitted DDS PC (Michael J. Whitted & Associates)
• Milestone Rehabilitation
• Matthew Miller, M.S., PT/OCS; ATC
• Mindful Mavens, LLC.
• Jennifer Minniear
• MLC Ventures (Valley Medical Transport)
• Emily Kim Molter, PTA

• Dental Clinic/Center in South Elgin, IL
• Providers in South Elgin, IL by specialty
• Dental Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2009; 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.