Miller Dental Health

LBN: Miller Dental Health
Miller Dental Health is an health care organization with primary practice located at 4250 Faronia Rd , Memphis TN 38116-6527. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty. Miller Dental Health can be contacted via phone (901) 332-8893, or through Miller, Rodric Ledell via phone 90137375433.

Contact Information

Primary practice address
4250 Faronia Rd Memphis TN 38116-6527
Phone: (901) 332-8893
Fax: (901) 332-8895
Website:
Map and Directions
Authorized official contact:
Name: Miller, Rodric Ledell Doctor of Dental Surgery (DDS)
Phone: 90137375433

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X DS0000007946 Tennessee

Profile Details

NPI number 1669750717
LBN Legal business name Miller Dental Health
DBA Doing business as
Authorized official Miller, Rodric Ledell Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 22nd, 2011
Last updated Jul 22nd, 2011 - about 14 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 1669750717 NPPES
Tennessee MEDICAID 1521792

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