Brent Lawrence Miller, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

14309 Issued in OH

Practice address

6803 Mayfield Rd
Suite 300
Mayfield Heights, OH 44124-2271

Phone

(440) 449-7700

Fax

(440) 449-3605

NPI assigned

Sep 24, 2007

Last updated

Sep 24, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

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

{
    "created_epoch": "1190592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190592000000",
    "number": "1952597825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6803 MAYFIELD RD",
            "address_2": "SUITE 300",
            "city": "MAYFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "441242271",
            "telephone_number": "440-449-7700",
            "fax_number": "440-449-3605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6803 MAYFIELD RD",
            "address_2": "SUITE 300",
            "city": "MAYFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "441242271",
            "telephone_number": "440-449-7700",
            "fax_number": "440-449-3605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "BRENT",
        "middle_name": "LAWRENCE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-24",
        "last_updated": "2007-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "14309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wasem Melika, PTA
• Jodi Lynn Meridieth, APRN, WHNP-BC
• Carla Renee Merrick, APRN.FNP-C
• Madeline Mignone
• Virginia Milkovich, PHARMD
• Jill C Miller, MD
• Joshua Miller, DO
• Mariellen Miller, CNP
• Sharon Miller
• Chazz Millsap

• General Practice Dentistry in Mayfield Heights, OH
• Providers in Mayfield Heights, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2007; 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.