Basic Information
| Provider Information | |||||||||
| NPI: | 1154513885 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | MILLER | ||||||||
| FirstName: | JAMES | ||||||||
| MiddleName: | HANS | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | JR. | ||||||||
| Credential: | D.D.S. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 6300 WEST LOOP S | ||||||||
| Address2: | SUITE 650 | ||||||||
| City: | BELLAIRE | ||||||||
| State: | TX | ||||||||
| PostalCode: | 774012900 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7136637960 | ||||||||
| FaxNumber: | 7133498027 | ||||||||
| Practice Location | |||||||||
| Address1: | 3200 S LANCASTER RD STE 760 | ||||||||
| Address2: | |||||||||
| City: | DALLAS | ||||||||
| State: | TX | ||||||||
| PostalCode: | 752168823 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2143754100 | ||||||||
| FaxNumber: | 2143754143 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/16/2007 | ||||||||
| LastUpdateDate: | 07/11/2011 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1223G0001X | 23435 | TX | Y | Dental Providers | Dentist | General Practice |
No ID Information.