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Dr. Rodric Ledell Miller, DDS
Pediatric Dentist in Memphis, Tennessee
NPI 1194714014

Rodric Ledell Miller is a Pediatric Dentist based in Memphis, TN and is specialized in Pediatric Dentistry. Rodric Ledell Miller practices in Memphis, TN and has the professional credentials of DDS. The NPI Number for Rodric Ledell Miller is 1194714014 and holds a License No. DS0000007946 (Tennessee).

The current practice location address for Rodric Ledell Miller is 5124 Stage Rd, Memphis, TN and can be reached out via phone at 901-373-5433 and via fax at 901-373-7322.

Location: 5124 Stage Rd, Memphis, TN, 38134-3164
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194714014
Provider Name
Rodric Ledell Miller
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
5124 Stage Rd, Memphis, TN, 38134-3164
Phone Number
901-373-5433
Fax Number
901-373-7322
Provider Enumeration Date
10/14/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
152431608 05 AR
institution
Provider Business Practice Location Address Details
Address
5124 Stage Rd
City
Memphis
State
Tennessee
Zip
38134-3164
Phone Number
901-373-5433
Fax Number
901-373-7322
person
Provider Business Mailing Address Details
Address
5124 Stage Rd
City
Memphis
State
Tennessee
Zip
38134-3164
Phone Number
901-373-5433
Fax Number
901-373-7322
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
7946 (Tennessee)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
person
Provider's Taxonomy Details 2
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
DS0000007946 (Tennessee)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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