Active NPI
Michael L. Miller, D.D.S
- Dentist
- Greensboro, GA
National Provider Identifier
1740374685
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN014914
- Practice address
- 1021 Founders Row
Greensboro, GA 30642 - Phone
- (706) 454-3040
- Fax
- (706) 454-3070
- NPI assigned
- Oct 3, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dentist | 122300000X | DN014914 | GA | Primary |
Addresses
Primary practice location
1021 Founders Row
Greensboro, GA 30642
Mailing address
1021 Founders Row
Greensboro, GA 30642-5260
Phone (706) 484-3040
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN014914 | GA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1433289600000",
"number": "1740374685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1021 FOUNDERS ROW",
"city": "GREENSBORO",
"state": "GA",
"postal_code": "306425260",
"telephone_number": "706-484-3040",
"fax_number": "706-454-3070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1021 FOUNDERS ROW",
"city": "GREENSBORO",
"state": "GA",
"postal_code": "30642",
"telephone_number": "706-454-3040",
"fax_number": "706-454-3070"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "MICHAEL",
"middle_name": "L.",
"credential": "D.D.S",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-03",
"last_updated": "2015-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "GA",
"license": "DN014914",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greensboro, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.