Active NPI
Willie L Miller, D.D.S., P.A.
- General Practice Dentistry
- Hopkins, SC
National Provider Identifier
1710939913
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 2341
- Practice address
- 9110 Garners Ferry Rd
Hopkins, SC 29061-9561 - Phone
- (803) 783-2686
- Fax
- (803) 783-7519
- NPI assigned
- May 16, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 2341 | SC | Primary |
Addresses
Primary practice location
9110 Garners Ferry Rd
Hopkins, SC 29061-9561
Mailing address
9110 Garners Ferry Rd
Hopkins, SC 29061-9561
Phone (803) 783-2686
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 591842 | Other | SC | TRICARE |
| Z23412 | Medicaid | SC | |
| ZA9966 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2341 | SC | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1710939913",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9110 GARNERS FERRY RD",
"city": "HOPKINS",
"state": "SC",
"postal_code": "290619561",
"telephone_number": "803-783-2686",
"fax_number": "803-783-7519"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9110 GARNERS FERRY RD",
"city": "HOPKINS",
"state": "SC",
"postal_code": "290619561",
"telephone_number": "803-783-2686",
"fax_number": "803-783-7519"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "WILLIE",
"middle_name": "L",
"credential": "D.D.S., P.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-16",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "SC",
"license": "2341",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "591842",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Z23412",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ZA9966",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hopkins, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.