Miller Dental Health

LBN: Miller Dental Health
Miller Dental Health is an health care organization with primary practice located at 5124 Stage Rd Ste C-2 , Memphis TN 38134-3164. 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) 373-5433, or through Miller, Rodric Ledell via phone (901) 373-5433.

Contact Information

Primary practice address
5124 Stage Rd Ste C-2 Memphis TN 38134-3164
Phone: (901) 373-5433
Fax: (901) 373-7322
Website:
Map and Directions
Authorized official contact:
Name: Miller, Rodric Ledell Doctor of Dental Surgery (DDS)
Phone: (901) 373-5433

Health care specialties

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

Profile Details

NPI number 1770880064
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 Feb 22nd, 2011
Last updated Feb 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 1770880064 NPPES
Tennessee MEDICAID 3207279

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