Jessica Marie Parker Miller, DDS
Individual provider Active NPI Dentist · Brookville, OH
NPI 1821438540 · NPPES record last updated Jul 26, 2024
Key facts
- NPI
- 1821438540
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 30.023938 (OH)
- Practice address
- 460 Rona Pkwy
Brookville, OH 45309-1118 - Phone
- (937) 833-4411
- NPI assigned
- Jun 26, 2013
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30.023938 | OH | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jessica M.P. Miller, D.D.S., LLC | Current | Accepting new patients | |
| M Alexandrunas D Hudoba Dental 1 Inc | Current |
Accepting new patients |
Locations
460 Rona Pkwy
Brookville, OH 45309
Phone (937) 833-4054
924 Shroyer Rd
Dayton, OH 45419
Phone (937) 293-8272
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 30.023938 | OH | Yes |
Addresses
Primary practice location
460 Rona Pkwy
Brookville, OH 45309-1118
Mailing address
460 Rona Pkwy
Brookville, OH 45309-1118
Phone (937) 833-4411
Other providers in Brookville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 26, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.