Individual
DR. RODRIC LEDELL MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
5124 STAGE RD, MEMPHIS, TN 38134-3164
(901) 373-5433
(901) 373-7322
Mailing address
5124 STAGE RD, MEMPHIS, TN 38134-3164
(901) 373-5433
(901) 373-7322
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
DS0000007946
TN
1223P0221X
Pediatric Dentistry
Primary
7946
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
152431608
—
AR
Enumeration date
10/14/2005
Last updated
04/21/2023
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