Individual provider · Type 1 NPI

Glen R. Miller, DDS

General Practice Dentistry · Fairfax, VA

NPI number 1891782892 Active

Practice location

10509 Braddock Rd
Fairfax, VA 22032-2239

Fax (703) 503-0766

Mailing address

5249 Duke St
Alexandria, VA 22304-2919

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X0401008691 (VA)

General Practice Dentistry: 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.

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About NPI 1891782892

Glen R. Miller, DDS's National Provider Identifier is 1891782892, issued on Oct 4, 2005. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Fairfax, VA. The record was last updated on Jul 13, 2026.