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Organization
RISE MODERN DENTISTRY
Active
Organization
RISE MODERN DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CODY MILLER DMD (OWNER DOCTOR)
(402) 802-0264
Entity
Organization
Contact information
Practice address
215 GRIFFITH STREET, DAVIDSON, NC 28036
(402) 802-0264
Mailing address
8153 MERRYVALE LN, CHARLOTTE, NC 28214-2658
(402) 802-0264
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/30/2025
Last updated
06/30/2025
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