Mark M Miller in Lake Charles - General Practice

Mark M Miller - NPI 1790799294

Mark M Miller is a General Practice in Lake Charles, Louisiana. Mark M Miller practices all healthcare services and medical treatments related to General Practice. The NPI Number for Mark M Miller is 1790799294. The last update date is 2007-07-08.

Mark M Miller's current location address is 1516 18th St, Lake Charles, Louisiana. You can contact this provider via phone number 3374789994. The mailing address for Mark M Miller is 1516 18th St, Lake Charles, Louisiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Mark M Miller
Address 1516 18th St, Lake Charles, Louisiana
Phone Number 3374789994
Fax Number
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1790799294
Provider Enumeration Date 2006-07-28
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1516 18th St
City Lake Charles
State Louisiana (LA)
Post Code 70601
Phone Number 3374789994
Fax Number

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 3313
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1833134 LA --

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FAQs about Mark M Miller

What is the unique identifier code issued to Mark M Miller by the Centers for Medicare & Medicaid Services?

The Mark M Miller has been assigned the NPI (National Provider Identifier) 1790799294. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Mark M Miller's facilities are situated?

The facilities of Mark M Miller are physically located at the following address: 1516 18Th St, Lake Charles, LA, 70601.

What is Mark M Miller's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Mark M Miller is General Practice, and the corresponding taxonomy classification code for this specialized field is 1223G0001X.

On what date did the Mark M Miller receive its 1790799294 assignment from the Centers for Medicare & Medicaid Services?

The Mark M Miller was assigned its 1790799294 by the Centers for Medicare & Medicaid Services on 2006-07-28.

As of what date was the information regarding Mark M Miller, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Mark M Miller, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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