JACOB S MILLER, DDS, PLLC - NPI 1689119414 - Dentist in Grand Rapids, MI

Q: What is the provider's specialty?

The provider's specialty is Dentist with taxonomy code 1223G0001X and a focus in General Practice.

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About Jacob S Miller, Dds, Pllc NPPES

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

JACOB S MILLER, DDS, PLLC (NPI 1689119414) is a healthcare organization registered as a general practice in Grand Rapids, Michigan and active in the NPI registry since January 2017. The organization lists Jacob S Miller, President, as its authorized official.

NPPES Registry Identity

NPI1689119414

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameJACOB S MILLER, DDS, PLLC

Location Address2730 5 MILE RD NE, SUITE #101Grand Rapids, MI 49525-6518

Mailing Address6689 Gran Via Dr NeRockford, MI 49341-9689 · (616) 901-9148

Phone(616) 364-7039

Fax(616) 364-6068

Organization SubpartNo

Authorized OfficialJacob S MillerPresident · (616) 901-9148

Enumeration DateJanuary 3, 2017

✔ NPI 1689119414 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in MI · L2901020673

Definition

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.

2730 5 MILE RD NE, Grand Rapids, MI 49525

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location

The following 6 providers are registered at the same or a nearby location.

DR. FREDERICK M RUFFER D.D.S.

Dentist (General Practice)

2730 5 MILE RD NE, SUITE 102
GRAND RAPIDS, MI 49525

Kent County (616) 363-6857

EMILY S LANGENAU LMSW

Social Worker (Clinical)