Healthcare Provider Details

I. General information

NPI: 1346655453
Provider Name (Legal Business Name): TIMOTHY REID MILLER DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/26/2014
Last Update Date: 10/02/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1710 LAFAYETTE ST
STEILACOOM WA
98388-1328
US

IV. Provider business mailing address

27081 185TH AVE SE STE 105
COVINGTON WA
98042-8448
US

V. Phone/Fax

Practice location:
  • Phone: 253-582-3106
  • Fax:
Mailing address:
  • Phone: 253-981-4950
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDE60463337
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: