Healthcare Provider Details
I. General information
NPI: 1730019100
Provider Name (Legal Business Name): HANNAH KATHRYNE MILLER DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 05/19/2026
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
809 APOLLO RD STE 200
SCOTT LA
70583-5393
US
IV. Provider business mailing address
809 APOLLO RD STE 200
SCOTT LA
70583-5393
US
V. Phone/Fax
- Phone: 337-345-5615
- Fax:
- Phone: 985-718-8890
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1223G0001X |
| Taxonomy | General Practice Dentistry |
| License Number | INPROGRESS |
| License Number State | LA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: