# GLENN B. MILLER, D.D.S., P.A.

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

## Provider details

- **NPI number:** 1801965348
- **Authorized official:** DR. GLENN BRADLEY MILLER D.D.S. (PRESIDENT)
- **Authorized official phone:** (828) 684-3839

## Contact information

- **Practice address:** 1944 HENDERSONVILLE RD, PARK SOUTH B-2, ASHEVILLE, NC 28803-2351
- **Practice address phone:** (828) 684-3839
- **Practice address fax:** (828) 681-0937
- **Mailing address:** 1944 HENDERSONVILLE RD, PARK SOUTH B-2, ASHEVILLE, NC 28803-2351
- **Mailing address phone:** (828) 684-3839
- **Mailing address fax:** (828) 681-0937

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 4517 | NC | Yes |

## Other

- **Enumeration date:** 11/07/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 8995958 | — | NC |
| 01 | — | 95958 | BLUE CROSS BLUE SHIELD ID | — |