Individual provider · Type 1 NPI

Mark D. Miller, DDS

Oral and Maxillofacial Surgery (Dentist) · Louisville, KY

NPI number 1104982016 Active

Practice location

1211 W Broadway Unit 106
Louisville, KY 40203-2082

Call (270) 885-0165 Map

Fax (270) 886-2224

Mailing address

15142 Rosario Rd
Frisco, TX 75035-5439

Other practice locations

  • 2400 Richmond Rd Ste 133, Texarkana, TX 75503-2464 · (903) 306-0790

Specialties and licenses

TaxonomyCodeLicense
Dental Anesthesiology 1223D0004X6861 (KY)
Oral and Maxillofacial Surgery (Dentist) 1223S0112X36087 (TX)
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X6861 (KY)
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X6861 (KY)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

Other oral and maxillofacial surgery (dentist) providers in Louisville

See all in Louisville →

About NPI 1104982016

Mark D. Miller, DDS's National Provider Identifier is 1104982016, issued on Dec 28, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Louisville, KY. The record was last updated on Jun 24, 2020.