MEDICARE: DR. ALEXANDRA KAYE MILLER DMD

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	2901600585	MI
2	122300000X	Dentist	12014165A	IN

General Provider Information

NPI Number	:	1518583061
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALEXANDRA KAYE MILLER DMD

Provider Business Mailing Address
First Line	:	15743 W RAIL DR
Second Line	:
City	:	WESTFIELD
State	:	IN
Zip	:	46074-7867
Country	:	US
Telephone Number	:	812-249-4355
Fax Number	:

Provider Business Practice Location Address
First Line	:	893 S DELAWARE ST
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46225-1782
Country	:	US
Telephone Number	:	317-775-1288
Fax Number	:

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

Provider Enumeration Date	:	06/21/2020
Last Update Date	:	01/15/2025

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