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Dr. Mark D. Miller, DDS
Oral and Maxillofacial Surgery (Dentist) in Louisville, Kentucky
NPI 1104982016

Mark D. Miller is a Oral and Maxillofacial Surgery (Dentist) based in Frisco, KY and is specialized in Oral and Maxillofacial Surgery. Mark D. Miller practices in Louisville, KY and has the professional credentials of DDS. The NPI Number for Mark D. Miller is 1104982016 and holds a License No. 6861 (Kentucky).

The current practice location address for Mark D. Miller is 1211 W Broadway Unit 106, Louisville, KY and can be reached out via phone at 270-885-0165 and via fax at 270-886-2224.

Location: 1211 W Broadway Unit 106, Louisville, KY, 75035-5439
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104982016
Provider Name
Mark D. Miller
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
1211 W Broadway Unit 106, Louisville, KY, 75035-5439
Phone Number
270-885-0165
Fax Number
270-886-2224
Provider Enumeration Date
12/28/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
60068616 05 KY
64068612 05 KY
institution
Provider Business Practice Location Address Details
Address
1211 W Broadway Unit 106
City
Louisville
State
Kentucky
Zip
40203-2082
Phone Number
270-885-0165
Fax Number
270-886-2224
person
Provider Business Mailing Address Details
Address
1211 W Broadway Unit 106
City
Louisville
State
Kentucky
Zip
40203-2082
Phone Number
270-885-0165
Fax Number
270-886-2224
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Dentist Anesthesiologist
Taxonomy
1223D0004X
License No.
6861 (Kentucky)
Definition
A dentist who has successfully completed an accredited postdoctoral anesthesiology residency training program for dentists of two or more years duration, in accord with Commission on Dental Accreditation's Standards for Dental Anesthesiology Residency Programs, and/or meets the eligibility requirements for examination by the American Dental Board of Anesthesiology.
person
Provider's Taxonomy Details 2
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
36087 (Texas)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Oral & Maxillofacial Surgery
Speciality
-
Taxonomy
204E00000X
License No.
6861 (Kentucky)
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
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