Provider Demographics
NPI:1689682874
Name:MILLER, DONNA G (DDS)
Entity Type:Individual
Prefix:DR
First Name:DONNA
Middle Name:G
Last Name:MILLER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7911 WOODWAY DRIVE
Mailing Address - Street 2:
Mailing Address - City:WACO
Mailing Address - State:TX
Mailing Address - Zip Code:76712-3866
Mailing Address - Country:US
Mailing Address - Phone:254-772-3632
Mailing Address - Fax:254-772-7856
Practice Address - Street 1:7911 WOODWAY DRIVE
Practice Address - Street 2:
Practice Address - City:WACO
Practice Address - State:TX
Practice Address - Zip Code:76712-3866
Practice Address - Country:US
Practice Address - Phone:254-772-3632
Practice Address - Fax:254-772-7856
Is Sole Proprietor?:No
Enumeration Date:2006-08-03
Last Update Date:2017-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX146681223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice