# BERKELEY SPRINGS DENTISTRY

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295266948
- **Authorized official:** DR. MAGIC M MILLER DDS (OWNER/DENTIST)
- **Authorized official phone:** (304) 258-7800

## Contact information

- **Practice address:** 1911 VALLEY RD, BERKELEY SPRINGS, WV 25411-4815
- **Practice address phone:** (304) 258-7800
- **Practice address fax:** (304) 258-1260
- **Mailing address:** 1911 VALLEY RD, BERKELEY SPRINGS, WV 25411-4815
- **Mailing address phone:** (304) 258-7800
- **Mailing address fax:** (304) 258-1260

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 3527 | WV | Yes |

## Other

- **Enumeration date:** 03/24/2017
- **Last updated:** 03/24/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 4003051000 | — | WV |