Provider Demographics
NPI:1255859211
Name:MILLER AND ASSOCIATES THREE PLLC
Entity Type:Organization
Organization Name:MILLER AND ASSOCIATES THREE PLLC
Other - Org Name:MILLER AND ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:BAILEY
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:IV
Authorized Official - Credentials:DDS
Authorized Official - Phone:252-626-9729
Mailing Address - Street 1:PO BOX 13127
Mailing Address - Street 2:
Mailing Address - City:NEW BERN
Mailing Address - State:NC
Mailing Address - Zip Code:28561-3127
Mailing Address - Country:US
Mailing Address - Phone:252-626-9729
Mailing Address - Fax:
Practice Address - Street 1:104 COLLEGE PLZ
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28546-6820
Practice Address - Country:US
Practice Address - Phone:910-346-2202
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-30
Last Update Date:2017-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1223G0001X
NC75191223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty