Provider Demographics
NPI:1477690923
Name:MILLER, MURRAY MILES (DDS)
Entity Type:Individual
Prefix:DR
First Name:MURRAY
Middle Name:MILES
Last Name:MILLER
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 1:11161 KINGSTON PIKE
Mailing Address - Street 2:SUITE 1
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37934-2867
Mailing Address - Country:US
Mailing Address - Phone:865-966-8716
Mailing Address - Fax:865-966-1209
Practice Address - Street 1:11161 KINGSTON PIKE
Practice Address - Street 2:SUITE 1
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37934-2867
Practice Address - Country:US
Practice Address - Phone:865-966-8716
Practice Address - Fax:865-966-1209
Is Sole Proprietor?:No
Enumeration Date:2007-01-31
Last Update Date:2015-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO7501122300000X
TN9746122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist