Miller, Charles W

Miller, Charles W is an individual health care provider with primary practice located at 4220 Little Road , Arlington TX 76016. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Miller, Charles W can be contacted via phone (817) 478-2300.

Contact Information

Primary practice address
4220 Little Road Arlington TX 76016
Phone: (817) 478-2300
Fax: (817) 478-4904
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 12597 Texas

Profile Details

NPI number 1366449761
LBN Legal business name Miller, Charles W
Credentials DDS, MS
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2005
Last updated Jan 28th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366449761 NPPES
Texas MEDICAID 133274407
Texas MEDICAID 133274409

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