Provider Demographics
NPI:1841325735
Name:L. M. MILLER D.D.S. L.L.C.
Entity type:Organization
Organization Name:L. M. MILLER D.D.S. L.L.C.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:
Authorized Official - Last Name:LUX
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:816-461-2916
Mailing Address - Street 1:13905 E NOLAND CT
Mailing Address - Street 2:
Mailing Address - City:INDEPENDENCE
Mailing Address - State:MO
Mailing Address - Zip Code:64055-6519
Mailing Address - Country:US
Mailing Address - Phone:816-461-2916
Mailing Address - Fax:816-461-7875
Practice Address - Street 1:13905 E NOLAND CT
Practice Address - Street 2:
Practice Address - City:INDEPENDENCE
Practice Address - State:MO
Practice Address - Zip Code:64055-6519
Practice Address - Country:US
Practice Address - Phone:816-461-2916
Practice Address - Fax:816-461-7875
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty