Miller Dental Group

LBN: Miller Dental Group Pooler Llc
Miller Dental Group is an health care organization with primary practice located at 103 Park Ave Ste 200 , Pooler GA 31322-4262. The organization recently has 10 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Dental Public Health, Dental Providers / Endodontics, Dental Providers / General Practice, Dental Providers / Pediatric Dentistry, Dental Providers / Periodontics, Dental Providers / Oral and Maxillofacial Surgery, Dental Providers / Denturist, Dental Providers / Dental Hygienist, Dental Providers / Dental Assistant. Dental Providers / General Practice is the primary health care specialty. Miller Dental Group Pooler Llc can be contacted via phone (912) 330-6000, or through Solomon, Kristy via phone (912) 330-6000.

Contact Information

Primary practice address
103 Park Ave Ste 200 Pooler GA 31322-4262
Phone: (912) 330-6000
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Solomon, Kristy
Phone: (912) 330-6000

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X
Dental Providers / Dental Public Health 1223D0001X
Dental Providers / Endodontics 1223E0200X
Dental Providers / General Practice 1223G0001X
Dental Providers / Pediatric Dentistry 1223P0221X
Dental Providers / Periodontics 1223P0300X
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X
Dental Providers / Denturist 122400000X
Dental Providers / Dental Hygienist 124Q00000X
Dental Providers / Dental Assistant 126800000X

Profile Details

NPI number 1215572276
LBN Legal business name Miller Dental Group Pooler Llc
DBA Doing business as Miller Dental Group
Authorized official Solomon, Kristy
Entity Organization
Organization subpart 1 No
Enumeration date Nov 14th, 2019
Last updated Aug 13th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215572276 NPPES
Other 1538518774 NPPES
Other 1578782702 NPPES

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