Organization
MILLER DENTAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RODRIC LEDELL MILLER D.D,S. (PRESIDENT/ DENTIST)
(901) 373-5433
Entity
Organization
Contact information
Practice address
5124 STAGE RD STE C-2, MEMPHIS, TN 38134-3164
(901) 373-5433
(901) 373-7322
Mailing address
5124 STAGE RD STE C-2, MEMPHIS, TN 38134-3164
(901) 373-5433
(901) 373-7322
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DS0000007946
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3207279
—
TN
Enumeration date
02/22/2011
Last updated
02/22/2011
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