Active NPI
William B Miller DMD PC
- Orthodontics and Dentofacial Orthopedics Dentistry
- Lagrange, GA
National Provider Identifier
1881813772
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- DN009183
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Lagrange, GA
- NPI 1295265080
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.