# MILLER DDS OF HAYMARKET, PC

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

## Provider details

- **NPI number:** 1306096607
- **Authorized official:** DR. GLEN RAY MILLER DDS (PRESIDENT)
- **Authorized official phone:** (703) 753-7077

## Contact information

- **Practice address:** 6735 LEA BERRY WAY, HAYMARKET, VA 20169-2991
- **Practice address phone:** (703) 753-7077
- **Practice address fax:** (703) 753-6973
- **Mailing address:** 6735 LEA BERRY WAY, HAYMARKET, VA 20169-2991
- **Mailing address phone:** (703) 753-7077
- **Mailing address fax:** (703) 753-6973

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 0401008691 | VA | Yes |

## Other

- **Enumeration date:** 09/23/2008
- **Last updated:** 09/23/2008