Miller Dental Group Pooler LLC

NPI #1215572276 in Pooler, Georgia

Provider Information

NPI Number: 1215572276
Entity Type: Organization
Organization Name: Miller Dental Group Pooler LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Nov 14, 2019
Last Updated: Aug 13, 2020

Practice Location

Address: 103 PARK AVE STE 200
City: Pooler
State: Georgia
ZIP Code: 31322-4262
Phone: (912) 330-6000

Authorized Official

Name: MRS. KRISTY SOLOMON
Title: OFFICE MANAGER
Phone: (912) 330-6000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X
Dentist - Dental Public Health — Dental Public Health	1223D0001X
Dentist - Endodontics — Endodontics	1223E0200X
Dentist - Pediatric Dentistry — Pediatric Dentistry	1223P0221X
Denturist	122400000X
Dentist - Periodontics — Periodontics	1223P0300X
Dental Hygienist	124Q00000X
Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery	1223S0112X
Dental Assistant	126800000X
Dentist - General Practice — General Practice	1223G0001X	Primary

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