Organization Active NPI

William B Miller DMD PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Lagrange, GA
National Provider Identifier
1881813772
Registry record updated May 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
DN009183 Issued in GA
Legal business name
WILLIAM B MILLER DMD PC
Practice address
104 Old Mill Rd
Lagrange, GA 30241-6704
Phone
(706) 884-0049
Fax
(706) 884-2634
NPI assigned
Apr 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2015

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

Authorized official

Name
Dr. William Bruce Miller, D.M.D.
Title
Doctor
Phone
(706) 884-0049

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X DN009183 GA Primary

Addresses

Primary practice location

104 Old Mill Rd
Lagrange, GA 30241-6704

Mailing address

104 Old Mill Rd
Lagrange, GA 30241-6704
Phone (706) 884-0049

Other names 1

  • William B Miller DMD Former legal business name

National Provider Directory

National Provider Directory

Locations

104 Old Mill Rd
Lagrange, GA 30241
Phone (706) 884-0049

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432771200000",
    "number": "1881813772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 OLD MILL RD",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302416704",
            "telephone_number": "706-884-0049",
            "fax_number": "706-884-2634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 OLD MILL RD",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302416704",
            "telephone_number": "706-884-0049",
            "fax_number": "706-884-2634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM B MILLER DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2015-05-28",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "BRUCE",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "706-884-0049",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "GA",
            "license": "DN009183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "William B Miller DMD",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Lagrange, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 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.

Verify at the official NPI Registry.