Andrea Nicole Miller, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

9993 Issued in SC

Practice address

1209 N Retail CT
Myrtle Beach, SC 29577-9626

Phone

(843) 874-4060

NPI assigned

Jul 13, 2021

Last updated

Jul 13, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jebediah S. Christy, DDS - Myrtle Beach PLLC

  • General Practice Dentistry
  • Myrtle Beach, SC
  • NPI 1518336924
  NPD (past)

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

{
    "created_epoch": "1626134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626134400000",
    "number": "1851963573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1383 HADLEY CIR # B-2201",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295778208",
            "telephone_number": "814-528-8546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1209 N RETAIL CT",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295779626",
            "telephone_number": "843-874-4060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "ANDREA",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-13",
        "last_updated": "2021-07-13",
        "certification_date": "2021-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SC",
            "license": "9993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Savannah E Mikell, MS, LPCA
• Scott Lee Mikres, HAS
• Milestones Behavioral Services LLC
• Abraham Millan
• Alan Miller
• Ashley Marie Miller, APRN,FNP-C
• Beverly Elaine Miller, FNP
• Frankie Machado Miller II, LCSW-C
• Glenda Katlin Michelle Miller, WHNP-BC
• Hannah Grace Miller, DMD

• Dentist in Myrtle Beach, SC
• Providers in Myrtle Beach, SC by specialty
• Dentist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2021; 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.