Healthcare Provider Details

I. General information

NPI: 1538094537
Provider Name (Legal Business Name): CHERISE MILLER DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/12/2026
Last Update Date: 06/12/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

424 LEWIS HARGETT CIR STE 250
LEXINGTON KY
40503-3687
US

IV. Provider business mailing address

133 GRANT AVE
OAK GROVE KY
42262-8211
US

V. Phone/Fax

Practice location:
  • Phone: 614-638-8131
  • Fax:
Mailing address:
  • Phone: 404-202-9044
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberD-00250
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: