Provider Demographics
NPI:1689304107
Name:JOSHUA MILLER DMD & ASSOCIATES, PLLC
Entity Type:Organization
Organization Name:JOSHUA MILLER DMD & ASSOCIATES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:APRIL
Authorized Official - Middle Name:
Authorized Official - Last Name:PALACIO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-662-0021
Mailing Address - Street 1:136 FAIRVIEW RD STE 100
Mailing Address - Street 2:
Mailing Address - City:MOORESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28117-9518
Mailing Address - Country:US
Mailing Address - Phone:704-662-0021
Mailing Address - Fax:
Practice Address - Street 1:136 FAIRVIEW RD STE 100
Practice Address - Street 2:
Practice Address - City:MOORESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28117-9518
Practice Address - Country:US
Practice Address - Phone:704-662-0021
Practice Address - Fax:704-662-0026
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:JOSHUA MILLER DMD & ASSOCIATES, PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-06-16
Last Update Date:2022-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty