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General NPI Number Information
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NPI Number | 1801706478
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Entity Type | Organization
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Legal Business Name | MILLER ORTHODONTICS, PLLC
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Dates
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Enumeration Date | 09/08/2026
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Last Update Date | 09/08/2026
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Provider Practice Location Address
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Address Line | 213 KINGSWAY RD
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City | BRANDON
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State | FL
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Zip | 33510-4637
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Country | US
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Telephone | 813-427-2237
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Fax |
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Provider Business Mailing Address
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Address Line | 1303 W FLETCHER AVE
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City | TAMPA
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State | FL
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Zip | 33612-3310
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/ORTHODONTIST
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Name | ZACK MILLER
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Credential |
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Telephone | 813-427-2237
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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