MEDICARE: MILLER FAMILY DENTISTRY PLLC

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
1	261QD0000X	Dental Clinic/Center

General Provider Information

NPI Number	:	1831962067
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MILLER FAMILY DENTISTRY PLLC

Provider Business Mailing Address
First Line	:	121 AMHERST WAY
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37221-3010
Country	:	US
Telephone Number	:	615-347-0380
Fax Number	:

Provider Business Practice Location Address
First Line	:	4301 HILLSBORO PIKE STE 221
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37215-3314
Country	:	US
Telephone Number	:	615-385-2171
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. ALEXANDER MILLER IV
Credential	:	DDS
Telephone Number	:	615-347-0380

Provider Enumeration Date	:	10/31/2023
Last Update Date	:	10/31/2023

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