National Provider Identifier

Thomas James Miller, DDS

Thomas James Miller, DDS is listed in the NPPES registry with a primary specialty of General Practice Dentistry in Newark, NY and a listed phone number of (315) 331-4115.

NPI 1386640621Newark, NYGeneral Practice Dentistry

Profile Overview

NPI
1386640621
Provider Type
Individual
Primary Specialty
General Practice Dentistry
Enumeration Date
June 22, 2005
Last Updated
March 21, 2014

Practice Location

  • 111 Mason St
  • Newark, NY 14513-1459

Phone: (315) 331-4115

Mailing Address

  • 3 Kingsley Cir
  • Apt 4
  • Fairport, NY 14450-2664

Specialties

  • General Practice Dentistry (1223G0001X)
Full Record
NPI
1386640621
Entity Type
Individual
Last Name
Miller
First Name
Thomas
Middle Name
James
Name Prefix
Dr.
Credential
DDS
Mailing Street Address
3 Kingsley Cir
Mailing Address Line 2
Apt 4
Mailing City
Fairport
Mailing State
NY
Mailing ZIP Code
14450-2664
Mailing Country
US
Mailing Phone
(716) 909-1480
Practice Street Address
111 Mason St
Practice City
Newark
Practice State
NY
Practice ZIP Code
14513-1459
Practice Country
US
Practice Phone
(315) 331-4115
Enumeration Date
June 22, 2005
Last Updated
March 21, 2014
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
General Practice Dentistry (1223G0001X)