Provider Demographics
NPI:1619026838
Name:MILLER, DAVID LEINGSTON (DDS)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:LEINGSTON
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 1:1 CHARLTON DR
Mailing Address - Street 2:
Mailing Address - City:HAMPTON
Mailing Address - State:VA
Mailing Address - Zip Code:23666-3503
Mailing Address - Country:US
Mailing Address - Phone:757-838-0008
Mailing Address - Fax:757-838-4943
Practice Address - Street 1:1 CHARLTON DR
Practice Address - Street 2:
Practice Address - City:HAMPTON
Practice Address - State:VA
Practice Address - Zip Code:23666-3503
Practice Address - Country:US
Practice Address - Phone:757-838-0008
Practice Address - Fax:757-838-4943
Is Sole Proprietor?:No
Enumeration Date:2007-01-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04010074571223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice