Provider Demographics
NPI:1841510351
Name:CYNTHIA MILLER, DDS
Entity type:Organization
Organization Name:CYNTHIA MILLER, DDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:F
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-363-2269
Mailing Address - Street 1:6 PARK CENTER CT
Mailing Address - Street 2:SUITE 107
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117-5601
Mailing Address - Country:US
Mailing Address - Phone:410-363-2269
Mailing Address - Fax:410-363-3995
Practice Address - Street 1:6 PARK CENTER CT
Practice Address - Street 2:SUITE 107
Practice Address - City:OWINGS MILLS
Practice Address - State:MD
Practice Address - Zip Code:21117-5601
Practice Address - Country:US
Practice Address - Phone:410-363-2269
Practice Address - Fax:410-363-3995
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-07
Last Update Date:2010-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD53691223P0700X
MD83531223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty
No1223P0700XDental ProvidersDentistProsthodonticsGroup - Multi-Specialty