Miller Dental Practice PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MILLER DENTAL PRACTICE PLLC

Practice address

4391 Canal Ave SW Ste a
Grandville, MI 49418-2680

Phone

(616) 530-3900

NPI assigned

Jan 3, 2018

Last updated

Jun 20, 2023By 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

Nicholas Miller

Title

Owner

Phone

(616) 530-3900

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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.

• Lance William Dehne, D.D.S.

  • Dentist
  • Grandville, MI
  • NPI 1710326665
  NPD (past)
• Angela C Mercier, DDS

  • General Practice Dentistry
  • Grandville, MI
  • NPI 1841868346
  NPD (past)
• Mariah Grace Middel, DMD

  • Dentist
  • Grandville, MI
  • NPI 1437892700
  NPD (past)

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

{
    "created_epoch": "1514937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687219200000",
    "number": "1699282491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70887",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441900887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4391 CANAL AVE SW STE A",
            "city": "GRANDVILLE",
            "state": "MI",
            "postal_code": "494182680",
            "telephone_number": "616-530-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLER DENTAL PRACTICE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-03",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-530-3900"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michigan Medical Patient Care
• Michigan Medical Patient Care
• Mariah Grace Middel, DMD
• Ashely Mikita
• Khalilah Yvonne Miles, DOULA
• Allison Kay Miller, FNP
• Pamela Kay Miller
• Scott R Miller, O.D.
• Susan K Miller, O.D.
• Mindy Elizabeth Milliron, LMSW

• General Practice Dentistry in Grandville, MI
• Providers in Grandville, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2023; 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.