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General NPI Number Information
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NPI Number | 1922809128
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Entity Type | Organization
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Legal Business Name | SHAWN L. MILLER, DMD, INC.
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Dates
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Enumeration Date | 03/24/2025
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Last Update Date | 03/24/2025
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Provider Practice Location Address
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Address Line | 1110 E CHAPMAN AVE STE 205
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City | ORANGE
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State | CA
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Zip | 92866-2147
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Country | US
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Telephone | 714-639-1061
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Fax | 714-639-3184
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Provider Business Mailing Address
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Address Line | 1110 E CHAPMAN AVE STE 205
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City | ORANGE
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State | CA
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Zip | 92866-2147
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Country | US
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Telephone | 714-639-1061
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Fax |
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | DR. SHAWN LAWRENCE MILLER
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Credential | DMD
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Telephone | 714-878-5783
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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