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NPI Code Detail

MEDICARE: KANE MILLER DDS

MEDICARE: KANE 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
1390200000XStudent in an Organized Health Care Education/Training ProgramVA

General Provider Information

NPI Number : 1588504542
Entity Type Code : Individual
Provider Name (Legal Business Name) : KANE MILLER DDS
Provider Business Mailing Address
First Line : 1920 PRINCESS ANNE AVE
Second Line :
City : RICHMOND
State : VA
Zip : 23223-7246
Country : US
Telephone Number : 706-570-2168
Fax Number :
Provider Business Practice Location Address
First Line : 4348 ELECTRIC RD
Second Line :
City : ROANOKE
State : VA
Zip : 24018-0720
Country : US
Telephone Number : 540-769-0976
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/30/2026
Last Update Date : 03/30/2026

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Directions to “ KANE MILLER DDS” Practice Location

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