Provider Demographics
NPI:1164153102
Name:MILLER, CAROLINE (DDS)
Entity Type:Individual
Prefix:DR
First Name:CAROLINE
Middle Name:
Last Name:MILLER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:515 COUNTY ROAD 773
Mailing Address - Street 2:
Mailing Address - City:ANGLETON
Mailing Address - State:TX
Mailing Address - Zip Code:77515-2040
Mailing Address - Country:US
Mailing Address - Phone:318-218-7633
Mailing Address - Fax:
Practice Address - Street 1:3504 CORINTH PKWY STE 120
Practice Address - Street 2:
Practice Address - City:CORINTH
Practice Address - State:TX
Practice Address - Zip Code:76208-1316
Practice Address - Country:US
Practice Address - Phone:940-287-3535
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-21
Last Update Date:2022-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX38456122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist