MEDICARE: DR. DANIEL KENT MILLER DDS

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	122300000X	Dentist	17637	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1427011626
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DANIEL KENT MILLER DDS

Provider Business Mailing Address
First Line	:	1104 W SAM HOUSTON ST
Second Line	:	SUITE A
City	:	PHARR
State	:	TX
Zip	:	78577-5104
Country	:	US
Telephone Number	:	956-358-5061
Fax Number	:	956-781-0202

Provider Business Practice Location Address
First Line	:	1104 W SAM HOUSTON ST
Second Line	:	SUITE A
City	:	PHARR
State	:	TX
Zip	:	78577-5104
Country	:	US
Telephone Number	:	956-358-5061
Fax Number	:	956-781-0202

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

Provider Enumeration Date	:	04/10/2006
Last Update Date	:	07/08/2007

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