MEDICARE: DR. V TERRY MILLER DDS

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	1223G0001X	General Practice Dentistry	14669	TX

General Provider Information

NPI Number	:	1851397111
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. V TERRY MILLER DDS

Provider Business Mailing Address
First Line	:	1130 BEACHVIEW ST
Second Line	:	SUITE 210
City	:	DALLAS
State	:	TX
Zip	:	75218-3706
Country	:	US
Telephone Number	:	214-321-5800
Fax Number	:	214-321-3156

Provider Business Practice Location Address
First Line	:	1130 BEACHVIEW ST
Second Line	:	SUITE 210
City	:	DALLAS
State	:	TX
Zip	:	75218-3706
Country	:	US
Telephone Number	:	214-321-5800
Fax Number	:	214-321-3156

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/22/2005
Last Update Date	:	12/29/2015

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