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
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 0401008691 (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.