Provider Demographics
NPI:1124224498
Name:DODRILL, DAVID MILLER (DDS)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:MILLER
Last Name:DODRILL
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:646 COPPERWOOD CT
Mailing Address - Street 2:
Mailing Address - City:WHITEFISH
Mailing Address - State:MT
Mailing Address - Zip Code:59937-3400
Mailing Address - Country:US
Mailing Address - Phone:406-862-1010
Mailing Address - Fax:406-863-9090
Practice Address - Street 1:6516 US HIGHWAY 93 S
Practice Address - Street 2:
Practice Address - City:WHITEFISH
Practice Address - State:MT
Practice Address - Zip Code:59937-2916
Practice Address - Country:US
Practice Address - Phone:406-862-1010
Practice Address - Fax:406-863-9090
Is Sole Proprietor?:No
Enumeration Date:2007-06-25
Last Update Date:2013-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTD​2274122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist