Miller Dental Health

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DS0000007946 Issued in TN

Legal business name

MILLER DENTAL HEALTH

Practice address

5124 Stage Rd Ste C-2
Memphis, TN 38134-3164

Phone

(901) 373-5433

Fax

(901) 373-7322

NPI assigned

Feb 22, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Rodric Ledell Miller, D.D,S.

Title

President/ Dentist

Phone

(901) 373-5433

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Miller Dental Health3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Miller Dental Health

  • Pediatric Dentistry
  • Memphis, TN
  • NPI 1669750717
  NPD tax ID
• Miller Dental Health

  • Pediatric Dentistry
  • Oakland, TN
  • NPI 1932487089
  NPD tax ID

Locations

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

{
    "created_epoch": "1298332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298332800000",
    "number": "1770880064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5124 STAGE RD STE C-2",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381343164",
            "telephone_number": "901-373-5433",
            "fax_number": "901-373-7322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5124 STAGE RD STE C-2",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381343164",
            "telephone_number": "901-373-5433",
            "fax_number": "901-373-7322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLER DENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-22",
        "last_updated": "2011-02-22",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "RODRIC",
        "authorized_official_middle_name": "LEDELL",
        "authorized_official_title_or_position": "PRESIDENT/ DENTIST",
        "authorized_official_telephone_number": "901-373-5433",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D,S."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TN",
            "license": "DS0000007946",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3207279",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Milestone, LLC
• Milk With Tea
• Kristopher John Michael Milland, MD
• Millennium Medical Group of Tennessee PLLC
• Miller Dental Health
• Miller Family Medical Center
• Adaria Rashawn Miller, RN
• Amanda Miller, MD
• Amie Rae Miller, M.D.
• Amitai Miller, MD/MPP

• Pediatric Dentistry in Memphis, TN
• Providers in Memphis, TN by specialty
• Pediatric Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2011; 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.