| Miller Dental Health | |
|
4250 Faronia Rd Memphis TN 38116-6527 | |
| (901) 332-8893 | |
| (901) 332-8895 |
| Full Name | Miller Dental Health |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 4250 Faronia Rd, Memphis, Tennessee |
| Authorized Official Name and Position | Rodric Ledell Miller (PRESIDENT/DENTIST) |
| Authorized Official Contact | 90137375433 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Miller Dental Health 5124 Stage Rd Suite C-2 Memphis TN 38134-3164 Ph: (901) 373-5433 | Miller Dental Health 4250 Faronia Rd Memphis TN 38116-6527 Ph: (901) 332-8893 |
| NPI Number | 1669750717 |
|---|---|
| Provider Enumeration Date | 07/22/2011 |
| Last Update Date | 07/22/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669750717 | NPI | - | NPPES |
| 1521792 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | DS0000007946 (Tennessee) | Primary |
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