MEDICARE: DAVID ETHAN MILLER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	11335	KY

General Provider Information

NPI Number	:	1326841925
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID ETHAN MILLER

Provider Business Mailing Address
First Line	:	800 ROSE ST RM D-508
Second Line	:
City	:	LEXINGTON
State	:	KY
Zip	:	40536-0293
Country	:	US
Telephone Number	:	859-257-2002
Fax Number	:	859-323-5858

Provider Business Practice Location Address
First Line	:	800 ROSE STREET
Second Line	:	ROOM D-508
City	:	LEXINGTON
State	:	KY
Zip	:	40536-0293
Country	:	US
Telephone Number	:	859-257-2002
Fax Number	:	859-323-5858

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/29/2025
Last Update Date	:	05/10/2026

Similar Medicare Providers

1922686310 — CHRISTINA MARIE SEIBERT-JACOBS MD
Practice Location Address:

900 S LIMESTONE CTW 304
LEXINGTON, KY
40536-0293

Practice Phone: 859-323-2834
Practice Fax: 859-257-2605

1982276325 — DR. FATAI MOMODU AKEMOKWE MD
Practice Location Address:

740 S. LIMESTONE , ROOM J401
LEXINGTON, KY
40536-0293

Practice Phone: 859-218-5038
Practice Fax: 859-257-0754

1477482651 — GRACE CAMPBELL PHARMD
Practice Location Address:

800 ROSE ST RM H110
LEXINGTON, KY
40536-0293

Practice Phone: 859-323-4756
Practice Fax:

1235834201 — DR. ADAM JAMES CASKEY MD
Practice Location Address:

900 S LIMESTONE CTW 304
LEXINGTON, KY
40536-0293

Practice Phone: 859-323-2834
Practice Fax: 859-257-2605

1386689479 — MAHENDER VYASABATTU MD
Practice Location Address:

UK INTERNAL MEDICINE-HOSPITALISTS , 800 ROSE ST
LEXINGTON, KY
40536-0293

Practice Phone: 859-323-6047
Practice Fax:

1558001701 — PRANAV PRABU MD
Practice Location Address:

740 S LIMESTONE ROOM J401
LEXINGTON, KY
40536-0293

Practice Phone: 859-218-5038
Practice Fax: 859-257-0754

Directions to “ DAVID ETHAN MILLER ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.