William W. Kendall Miller III, D.D.S., M.S., P.A.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

12006 Issued in MD

Practice address

690 Ritchie Hwy
Severna Park, MD 21146-3919

Phone

(410) 647-0800

Fax

(410) 544-3652

NPI assigned

May 21, 2007

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

Other names 1

• Dr. W. Kendall Miller Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science, Physician Assistant

State licenses

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192406400000",
    "number": "1972712768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "690 RITCHIE HWY",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211463919",
            "telephone_number": "410-647-0800",
            "fax_number": "410-544-3652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "690 RITCHIE HWY",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211463919",
            "telephone_number": "410-647-0800",
            "fax_number": "410-544-3652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "WILLIAM",
        "middle_name": "W. KENDALL",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "D.D.S., M.S., P.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-21",
        "last_updated": "2007-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MD",
            "license": "12006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "W. KENDALL",
            "last_name": "MILLER",
            "prefix": "DR.",
            "credential": "D.D.S., M.S., P.A.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Nichole Lynn-Hines Miele, PTA
• Thaddeus Anthony Miksinski III, LCSW-C
• Abbey Mikutaicis
• Katie Sandbower Milleker, DIPLO.AC.
• Lauri Palmer Miller, LCSW-C
• Heather C Min, O.D.
• Virginia Ann Mitchell
• George Miteff
• Mitra Madani, D.D.S, LLC
• Danielle Mitsch, PMHNP-BC

• Orthodontics and Dentofacial Orthopedics Dentistry in Severna Park, MD
• Providers in Severna Park, MD by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.