Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KATELYNN NICOLE MILLER
NPI 1093367559
Dentist in San Diego, CA

Q: What is Katelynn Miller's NPI number?

The NPI number for Katelynn Miller is 1093367559. It was assigned to this individual provider in the NPPES registry on July 15, 2019.

Q: What is Katelynn Miller's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Katelynn Miller was last updated on June 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 56 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 15, 2019

34800 BOB WILSON DR, SAN DIEGO, CA 92134(610) 334-7797 Get Directions Write a Review

NPPES record last updated: June 22, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 29, 2022, Aug 17, 2022, Jul 15, 2019 (3 updates tracked since 2019).

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About Katelynn Nicole Miller NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATELYNN NICOLE MILLER (NPI 1093367559) is an individual dentist in San Diego, California, licensed in Pennsylvania (DS042332) and active in the NPI registry since July 2019.

NPPES Registry Identity

NPI1093367559

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameKATELYNN NICOLE MILLER

Location Address34800 BOB WILSON DRSan Diego, CA 92134-1098

Mailing Address34800 Bob Wilson DrSan Diego, CA 92134-1098

Phone(610) 334-7797

Sole ProprietorNo

Enumeration DateJuly 15, 2019

Last NPPES UpdateJune 22, 20263 updates tracked since enumeration

NPPES CertifiedJune 22, 2026

✔ NPI 1093367559 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in PA · DS042332

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Also ListedDentist · General PracticeTaxonomy 1223G0001X · License DGD.10195 (SC)

34800 BOB WILSON DR, San Diego, CA 92134

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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