# MATTHEW LEE MILLER

> 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:** 1609354877
- **Authorized official:** DR. MATTHEW LEE MILLER DDS (OWNER/DENTIST)
- **Authorized official phone:** (304) 229-5851

## Contact information

- **Practice address:** 372 MIDDLEWAY PIKE STE A, INWOOD, WV 25428-3909
- **Practice address phone:** (304) 229-5851
- **Practice address fax:** (304) 229-0666
- **Mailing address:** 372 MIDDLEWAY PIKE STE A, INWOOD, WV 25428-3909
- **Mailing address phone:** (304) 229-5851
- **Mailing address fax:** (304) 229-0666

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 4292 | WV | Yes |

## Other

- **Enumeration date:** 07/31/2018
- **Last updated:** 07/31/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1790048247 | — | WV |
| 05 | — | 1912922873 | — | WV |