Miller, Rodric Ledell

Miller, Rodric Ledell is an individual health care provider with primary practice located at 5124 Stage Rd , Memphis TN 38134-3164. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is his primary health care specialty. Miller, Rodric Ledell can be contacted via phone (901) 373-5433.

Contact Information

Primary practice address
5124 Stage Rd Memphis TN 38134-3164
Phone: (901) 373-5433
Fax: (901) 373-7322
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DS0000007946 Tennessee
Dental Providers / Pediatric Dentistry 1223P0221X 7946 Tennessee

Profile Details

NPI number 1194714014
LBN Legal business name Miller, Rodric Ledell
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 14th, 2005
Last updated Apr 21st, 2023 - about last year

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 1194714014 NPPES
Arkansas MEDICAID 152431608

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