MEDICARE: DR. ALEXANDER LAWTON MILLER IV 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	11608	TN

General Provider Information

NPI Number	:	1851969935
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALEXANDER LAWTON MILLER IV DDS

Provider Business Mailing Address
First Line	:	520 BATTERY DR
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37220-1119
Country	:	US
Telephone Number	:
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	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/15/2021
Last Update Date	:	06/15/2021

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