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DR. MILES LEE RENICK DMD
NPI 1780060772
Dentist - General Practice in Fort Eustis, VA

Active since August 03, 2015
669 MONROE AVE, FORT EUSTIS, VA 23604(239) 314-8016 Get Directions Write a Review

NPPES record last updated: July 10, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 10, 2023, Nov 2, 2018 (2 updates tracked since 2018).

About Dr. Miles Lee Renick Dmd NPPES

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

DR. MILES LEE RENICK DMD (NPI 1780060772) is an individual general practice provider in Fort Eustis, Virginia, licensed in Kentucky (9654) and active in the NPI registry since August 2015. He maintains 2 additional practice locations.

NPPES Registry Identity

NPI1780060772
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. MILES LEE RENICKCredential: DMD
Location Address669 MONROE AVEFort Eustis, VA 23604-5005
Mailing AddressUs Army Dental Health Activity Bavaria, Cmr 411 Unit 28038Apo, AE 09112
Phone(239) 314-8016
Sole ProprietorYes
Enumeration DateAugust 3, 2015
Last NPPES UpdateJuly 10, 20232 updates tracked since enumeration
NPPES CertifiedJuly 10, 2023
✔ NPI 1780060772 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in KY · 9654
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.
Also ListedDentistTaxonomy 122300000X · License 9654 (KY)
669 MONROE AVE, Fort Eustis, VA 23604
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Secondary Practice Locations 2

Location 14323 Hill StColumbia, SC 29207-6022 · Phone (803) 751-6209
Location 2US Army Dental Health Activity Bavaria, CMR 411 Unit 28038APO, AE 09112 · Phone (314) 590-3980

Other Providers at the Same Location NPPES 6

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

DR. CHRISTOPHER SCOTT PEPPEL DDS
Dentist (General Practice)
669 MONROE AVE
FORT EUSTIS, VA 23604
Newport News City (757) 314-8010
DR. JASON C LACOURSE DMD
Dentist (General Practice)
669 MONROE AVE
FORT EUSTIS, VA 23604
Newport News City (757) 314-8017
SPENSER AUSTIN DURST DDS
Dentist (General Practice)
669 MONROE AVE
FORT EUSTIS, VA 23604
Newport News City (757) 314-8016
JUNHYEONG HWANG
Dentist (General Practice)
669 MONROE AVE
FORT EUSTIS, VA 23604
Newport News City (757) 314-8016
DAISHA K ALSTON DMD
Dentist (General Practice)
669 MONROE AVE
NEWPORT NEWS, VA 23604
Newport News City (757) 314-8016
DR. MICHAEL KEESEE GREGORY DDS
Dentist (General Practice)
669 MONROE AVE
FORT EUSTIS, VA 23604
Newport News City (757) 878-3434

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 Miles Renick's NPI number?

The NPI number for Miles Renick is 1780060772. It was assigned to this individual provider in the NPPES registry on August 3, 2015.

Where is Miles Renick located?

Miles Renick practices at 669 Monroe Ave, Fort Eustis, VA 23604. The listed phone number is (239) 314-8016.

What is Miles Renick'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 Miles Renick was last updated on July 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.