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NPI Code Detail

MEDICARE: ROBERT B MILLER DMD PC

MEDICARE: ROBERT B MILLER DMD PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist
21223D0001XPublic Health Dentistry
31223D0004XDental Anesthesiology
41223E0200XEndodontics
51223P0106XOral and Maxillofacial Pathology Dentistry
61223P0221XPediatric Dentistry
71223P0300XPeriodontics
81223P0700XProsthodontics
91223S0112XOral and Maxillofacial Surgery (Dentist)
101223X0400XOrthodontics and Dentofacial Orthopedics Dentistry
11124Q00000XDental Hygienist
12126800000XDental Assistant
131223G0001XGeneral Practice Dentistry

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11417318940OTHERNPPES
21043701451OTHERNPPES
31538518774OTHERNPPES
41578782702OTHERNPPES

General Provider Information

NPI Number : 1699310656
Entity Type Code : Organization
Provider Name (Legal Business Name) : ROBERT B MILLER DMD PC
Provider Business Mailing Address
First Line : 901 E 66TH ST
Second Line :
City : SAVANNAH
State : GA
Zip : 31405-4509
Country : US
Telephone Number : 912-525-7777
Fax Number : 912-525-7779
Provider Business Practice Location Address
First Line : 901 E 66TH ST
Second Line :
City : SAVANNAH
State : GA
Zip : 31405-4509
Country : US
Telephone Number : 912-525-7777
Fax Number : 912-525-7779
Authorized Official
Title or Position : OFFICE MANAGER
Name : MRS. KRISTY SOLOMON
Credential :
Telephone Number : 912-330-6000
Provider Enumeration Date : 11/14/2019
Last Update Date : 08/13/2020

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Directions to “ROBERT B MILLER DMD PC ” Practice Location

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