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

Active since January 03, 2017
2730 5 MILE RD NE, SUITE #101, GRAND RAPIDS, MI 49525(616) 364-7039(616) 364-6068 Get Directions Write a Review

NPPES record last updated: January 3, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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 NPPES 5

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

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
DR. RACHEL ANNE PRUDHOMME DNP, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
2730 5 MILE RD NE
GRAND RAPIDS, MI 49525
Kent County (616) 426-9401
EMILY S LANGENAU LMSW
Social Worker (Clinical)
2730 5 MILE RD NE
GRAND RAPIDS, MI 49525
Kent County (616) 426-9159
KERI ANN FULKERSON
Social Worker (Clinical)
2730 5 MILE RD NE
GRAND RAPIDS, MI 49525
Kent County (616) 426-9159
MRS. ALYSSA JEAN SMITH LMSW
Social Worker (Clinical)
2730 5 MILE RD NE
GRAND RAPIDS, MI 49525
Kent County (616) 426-9159

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacob S Miller, Dds, PLLC's NPI number?

The NPI number for Jacob S Miller, Dds, PLLC is 1689119414. It was assigned to this organization in the NPPES registry on January 3, 2017.

Where is Jacob S Miller, Dds, PLLC located?

Jacob S Miller, Dds, PLLC is located at 2730 5 Mile Rd NE Suite #101, Grand Rapids, MI 49525. The listed phone number is (616) 364-7039.

What is Jacob S Miller, Dds, PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Jacob S Miller, Dds, PLLC was last updated on January 3, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.