Provider Demographics
NPI:1811623119
Name:MILLER, ASHLEY MORGAN (DDS)
Entity Type:Individual
Prefix:DR
First Name:ASHLEY
Middle Name:MORGAN
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 1:5637 MIDDLEBURY DR
Mailing Address - Street 2:
Mailing Address - City:BRYAN
Mailing Address - State:TX
Mailing Address - Zip Code:77802-6024
Mailing Address - Country:US
Mailing Address - Phone:979-255-0505
Mailing Address - Fax:
Practice Address - Street 1:3801 CROSS PARK DR
Practice Address - Street 2:
Practice Address - City:BRYAN
Practice Address - State:TX
Practice Address - Zip Code:77802-4140
Practice Address - Country:US
Practice Address - Phone:979-776-4450
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-28
Last Update Date:2022-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX387781223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice