Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

CHARLES MILLER DDS
NPI 1962139832
Dentist in Fort Drum, NY

Active since August 02, 2022
10590 ENDURING FREEDOM DR, FORT DRUM, NY 13602(315) 772-5576 Get Directions Write a Review

NPPES record last updated: July 8, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 8, 2026, Aug 23, 2023, Aug 2, 2022 (3 updates tracked since 2022).

About Charles Miller Dds NPPES

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

CHARLES MILLER DDS (NPI 1962139832) is an individual dentist in Fort Drum, New York, licensed in Michigan (2901601289) and active in the NPI registry since August 2022.

NPPES Registry Identity

NPI1962139832
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameCHARLES MILLERCredential: DDS
Location Address10590 ENDURING FREEDOM DRFort Drum, NY 13602-5503
Mailing Address10590 Enduring Freedom DrFort Drum, NY 13602-5503
Sole ProprietorYes
Enumeration DateAugust 2, 2022
Last NPPES UpdateJuly 8, 20263 updates tracked since enumeration
NPPES CertifiedJuly 8, 2026
NPI 1962139832 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in MI · 2901601289
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.

10590 ENDURING FREEDOM DR, Fort Drum, NY 13602

Accepted Insurance

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Dentist
10590 ENDURING FREEDOM DR, US ARMY DENTAL ACTIVITY
FORT DRUM, NY 13602
Dentist
10590 ENDURING FREEDOM DR, US ARMY DENTAL ACTIVITY
FORT DRUM, NY 13602
Dentist
10590 ENDURING FREEDOM DR, US ARMY DENTAL ACTIVITY
FORT DRUM, NY 13602
Dental Assistant
10590 ENDURING FREEDOM DR
FORT DRUM, NY 13602
Dental Assistant
10590 ENDURING FREEDOM DR
FORT DRUM, NY 13602
Dental Hygienist
10590 ENDURING FREEDOM DR
FORT DRUM, NY 13602
Dental Hygienist
10590 ENDURING FREEDOM DR
FORT DRUM, NY 13602
Dental Assistant
10590 ENDURING FREEDOM DR
FORT DRUM, NY 13602
Dental Hygienist
10590 ENDURING FREEDOM DR
FORT DRUM, NY 13602
Dental Hygienist
10590 ENDURING FREEDOM DR
FORT DRUM, NY 13602
Dental Assistant
10590 ENDURING FREEDOM DR
FORT DRUM, NY 13602
Dental Assistant
10590 ENDURING FREEDOM DR
FORT DRUM, NY 13602
Dental Hygienist
10590 ENDURING FREEDOM DR
FORT DRUM, NY 13602
Dental Assistant
10590 ENDURING FREEDOM DR
FORT DRUM, NY 13602
Dental Assistant
10590 ENDURING FREEDOM DR
FORT DRUM, NY 13602
Dental Assistant
10590 ENDURING FREEDOM DR
FORT DRUM, NY 13602
Dental Assistant
10590 ENDURING FREEDOM DR, US ARMY DENTAL ACTIVITY
FORT DRUM, NY 13602
Dental Assistant
10590 ENDURING FREEDOM DR
FORT DRUM, NY 13602
Dental Assistant
10590 ENDURING FREEDOM DR
FORT DRUM, NY 13602
Dental Assistant
10590 ENDURING FREEDOM DR
FORT DRUM, NY 13602

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1962139832, enumerated as an "individual" on August 02, 2022.

The provider is located at 10590 ENDURING FREEDOM DR FORT DRUM, NY 13602 and the phone number is (315) 772-5576.

Dentist with taxonomy code 122300000X.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, BEST Life, Blue. Please consult your insurance carrier or call the provider to verify.