Provider Demographics
NPI:1558952465
Name:DR WINSTON MILLER PLLC
Entity Type:Organization
Organization Name:DR WINSTON MILLER PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:WINSTON
Authorized Official - Middle Name:
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:512-975-2000
Mailing Address - Street 1:8300 RESEARCH BLVD STE A
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78758-8356
Mailing Address - Country:US
Mailing Address - Phone:512-975-2000
Mailing Address - Fax:512-416-9172
Practice Address - Street 1:8300 RESEARCH BLVD STE A
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78758-8356
Practice Address - Country:US
Practice Address - Phone:512-975-2000
Practice Address - Fax:512-416-9172
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-02
Last Update Date:2021-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty