MEDICARE: DR. ABRAHAM 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	9422	CO
2	122300000X	Dentist	8180	AZ

General Provider Information

NPI Number	:	1962605493
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ABRAHAM MILLER DDS

Provider Business Mailing Address
First Line	:	1130 S COUNTRY CLUB DR STE 101
Second Line	:
City	:	MESA
State	:	AZ
Zip	:	85210-4639
Country	:	US
Telephone Number	:	720-839-1806
Fax Number	:

Provider Business Practice Location Address
First Line	:	1130 S COUNTRY CLUB DR STE 101
Second Line	:
City	:	MESA
State	:	AZ
Zip	:	85210-4639
Country	:	US
Telephone Number	:	480-461-9866
Fax Number	:

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

Provider Enumeration Date	:	06/11/2007
Last Update Date	:	09/13/2011

Similar Medicare Providers

1316081714 — DR. JEFFREY BERNARDY D.D.S.
Practice Location Address:

1130 S COUNTRY CLUB DR UNIT 101
MESA, AZ
85210-4639

Practice Phone: 480-833-9866
Practice Fax: 480-461-9861

1053693531 — SOUTH MESA DENTAL PARTNERS
Practice Location Address:

1130 S. COUNTRY CLUB DR , STE 101
MESA, AZ
85210-4639

Practice Phone: 480-461-9866
Practice Fax: 480-461-9861

1851644504 — EMBRACEABLE AZ LLC
Practice Location Address:

1130 S COUNTRY CLUB DR , SUITE 101
MESA, AZ
85210-4639

Practice Phone: 480-461-9866
Practice Fax:

1376926303 — DR. JARED SPENCER SMITH DMD
Practice Location Address:

1130 S COUNTRY CLUB DR
MESA, AZ
85210-4639

Practice Phone: 480-461-9866
Practice Fax:

1144756016 — TAD OLSEN
Practice Location Address:

1130 S COUNTRY CLUB DR
MESA, AZ
85210-4639

Practice Phone: 480-461-9866
Practice Fax:

1922746858 — JACOB MOORHEAD DMD
Practice Location Address:

1130 S COUNTRY CLUB DR STE 101
MESA, AZ
85210-4639

Practice Phone: 480-461-9866
Practice Fax:

Directions to “ DR. ABRAHAM MILLER DDS” 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.