Provider Demographics
NPI:1134417165
Name:MILLER, RHONDA LYNN (RDH)
Entity type:Individual
Prefix:MS
First Name:RHONDA
Middle Name:LYNN
Last Name:MILLER
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:MS
Other - First Name:RHONDA
Other - Middle Name:LYNN
Other - Last Name:KLEEMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RDH
Mailing Address - Street 1:1248 STONE HARBOUR RD
Mailing Address - Street 2:
Mailing Address - City:WINTER SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32708
Mailing Address - Country:US
Mailing Address - Phone:407-803-2904
Mailing Address - Fax:407-542-4634
Practice Address - Street 1:1248 STONE HARBOUR RD
Practice Address - Street 2:
Practice Address - City:WINTER SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32708-4739
Practice Address - Country:US
Practice Address - Phone:407-803-2904
Practice Address - Fax:407-557-8446
Is Sole Proprietor?:No
Enumeration Date:2011-07-12
Last Update Date:2011-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDH8826124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist