Organization
FUNDENTIST-NORTH
Active
Other names
Drs Hyde Bailey Miller PTR North
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES W. MILLER DDS, MS (OWNER)
(817) 478-2300
Entity
Organization
Contact information
Practice address
801 W. ROAD TO SIX FLAGS, SUITE 101, ARLINGTON, TX 76012
(817) 459-1313
(817) 549-8970
Mailing address
4220 LITTLE ROAD, ARLINGTON, TX 76016
(817) 478-2300
(817) 478-4904
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223P0221X
Pediatric Dentistry
9223
TX
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009668701
—
TX
Enumeration date
08/23/2006
Last updated
01/30/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us