Millennium Family Dental - Meridian PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MILLENNIUM FAMILY DENTAL - MERIDIAN PLLC

Practice address

1848 Millenium Way
Meridian, ID 83642

Phone

(208) 888-2026

Fax

(208) 888-2094

NPI assigned

Sep 21, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Randall B Smith, DMDNPI 1639264658

Title

Owner

Phone

(208) 888-2026

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Randall B Smith, D.M.D.

  • General Practice Dentistry
  • Meridian, ID
  • NPI 1639264658
  NPD Authorized official

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643155200000",
    "number": "1689773525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1848 MILLENIUM WAY",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "83642",
            "telephone_number": "208-888-2026",
            "fax_number": "208-888-2094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1848 MILLENIUM WAY",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "83642",
            "telephone_number": "208-888-2026",
            "fax_number": "208-888-2094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLENNIUM FAMILY DENTAL - MERIDIAN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2022-01-26",
        "certification_date": "2022-01-26",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-888-2026",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristina Miles, DO
• Michelle Miles, DNP, APRN-CNP, FNP-C
• Steven Jeffrey Miles, D.M.D.
• Milestones, LLC
• Demitria Milford, PHARMD
• Alivia Miller, APRN-CNP
• Amanda Marie Miller, PTA, LMP, LMT
• Ann Catherine Miller, DO
• Chelsea Miller, PA-C
• Clayton Miller, D.O.

• General Practice Dentistry in Meridian, ID
• Providers in Meridian, ID by specialty
• General Practice Dentistry in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2022; 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.