Individual provider · Type 1 NPI

Lathe Edward Miller, DDS, M.S.

Orthodontics and Dentofacial Orthopedics Dentistry · Grand Rapids, MI

NPI number 1871644989 Active

Practice location

847 Parchment Dr SE
Grand Rapids, MI 49546-2303

Call (616) 942-9320 Map

Fax (616) 942-1878

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X29010118731 (MI)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1871644989

Lathe Edward Miller, DDS, M.S.'s National Provider Identifier is 1871644989, issued on Jan 15, 2007. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Grand Rapids, MI. The record was last updated on Jul 8, 2007.