| Organization Name: | NOAH DEAN MILLER DMD LLC |
| NPI Number: | 1285030262 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | NOAH DEAN MILLER (OWNER) |
| Mailing Address: | 2729 Rainbow Dr Rainbow City |
| State: | AL US |
| Postal Code: | 359065815 |
| Phone Number: | 2564428081 |
| Fax Number: | 2564428082 |
| NPI Enumeration Date: | 11/18/2014 |
| NPI Last Update Date: | 11/18/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QD0000X |
| License Number: | 3444AL |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AL |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Dental |
| Taxonomy Definition: | |