GREGORY LEE MILLER


Address: 3405 Derr Park Rd Se, Salem, OR 97310-0001
Phone: 5033730891

GREGORY LEE MILLER (NPI# 1023595899) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1023595899
Entity Type Individual
Full Name GREGORY LEE MILLER
Practice Address 3405 Derr Park Rd Se
Salem
OR 97310-0001
Mailing Address 1170 13th St Ne
Salem
OR 97301-1309
Practice Telephone 5033730891
Practice Fax Number 5033788628
Mailing Telephone 5037981579
Mailing Fax Number 5033788628
Enumeration Date 2018-07-25
Last Update Date 2018-07-25
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
D4753 OR Dental Providers

Other Providers GREGORY MILLER

NPI Name Taxonomy Address Enumeration
1336668425 Gregory Scott Miller Physician Assistant 8751 Sullivan Rd, Baton Rouge, LA 70818-6014 2017-09-11
1760930556 Gregory Alan Miller Occupational Therapist 104 Tyron Ct, Greenwood, SC 29649-7200 2016-09-21
1295959740 Gregory Allen Miller Psychologist 603 E Daniel St, Dept. of Psychology, U. Illinois, Champaign, IL 61820-6232 2007-04-13
1790811180 Gregory Paul Miller Dentist 1140 South Ave, North Mankato, MN 56003-3533 2007-02-27
1235142530 Gregory K Miller Pharmacist 114 Pointe Aux Loupe, Iota, LA 70543 2006-08-15
1588676449 Gregory James Miller Physician Assistant 6532 S Kellerman Way, Aurora, CO 80016-6199 2006-08-12
1821040783 Gregory L Miller Emergency Medicine 8054 Lea Ct, Holland, OH 43528-8042 2006-05-17
1497712905 Gregory John Miller Chiropractor 2078 Army Drive, Suite C, Dededo, GU 96929-8521 2006-04-27
1497727903 Gregory Miller Psychiatry & Neurology 1225 Ne 2nd Ave, Portland, OR 97232-2003 2006-02-07
1043282262 Gregory Lee Miller Optometrist 138 N Grant Ave, Manteca, CA 95336-4601 2006-02-02

Office Location

Street Address 3405 DERR PARK RD SE
City SALEM
State OR
Zip Code 97310-0001

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1740378850 Susan Owre Gelberg Psychologist 2605 State Street, Oregon State Penitentiary, Salem, OR 97310 2006-10-11
1417361312 Multi-cultural Consultants, Ltd Community/Behavioral Health Freedom & Recovery Program, 3405 Deer Park Dr. Se, Salem, OR 97310-0001 2014-06-18
1013329911 Ricardo Olalde Counselor Freedom & Recovery Program A D Program, 3405 Deer Park Dr. Se, Salem, OR 97310-0001 2014-05-27
1215142294 Donald Dravis Psychiatry & Neurology Oregon State Penitentiary, 2605 State Street, Salem, OR 97310-0001 2007-05-11
1861605768 Barbara S Miller Nurse Practitioner Odoc, 2605 State St, Salem, OR 97310-0001 2007-05-07
1881819563 Daryl Spencer Ruthven Psychiatry & Neurology 2575 Center St Ne, Counseling & Treatment Services, Salem, OR 97310-0001 2007-04-16
1538495734 Ole Hansen Family Medicine 2605 State St, Salem, OR 97310-1346 2009-10-22
1083263529 David Brown Student in an Organized Health Care Education/Training Program 2605 State St, Salem, OR 97310-1346 2019-09-07
1831466051 Pamela Rae Ward Counselor 2605 State St, Salem, OR 97310-1346 2011-11-17
1851620850 Mark Anthony Menes Dentist 2605 State St, Salem, OR 97310-1346 2009-12-22
Find all providers in zip 97310

Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy 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.
Notes: Source: Academy of General Dentistry

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1811557457 Chadi Farag Dentist 25620 75th Street, Salem, WI 53168 2019-06-17
1528626660 Stephanie Danielle Gibbons Dentist 5 Dawn St, Salem, NH 03079-3231 2019-06-04
1407414642 Selma Moon Pierce Dentist 961 Glen Eden Ct Nw, Salem, OR 97304-2258 2019-06-03
1295392926 Brock Jesse Nelson Dentist 631 Jason St Ne Ste 150, Salem, OR 97301-2750 2019-05-29
1437643616 Idylwood Dental LLC Dentist 4392 Liberty Road, Salem, OR 97302-6171 2018-06-20
1619428281 William D. Bateman, Dmd, LLC Dentist 1995 Commercial St Se Ste 200, Salem, OR 97302-5291 2016-10-19
1134545494 Caroline Wallace Dentist 103 S Colorado St, Salem, VA 24153-3848 2014-03-11
1275960296 Amy Trevor Dentist 1595 Commercial St. Se, Salem, OR 97302 2013-10-04
1558601385 Crisdental East Salem, LLC Dentist 3545 Lancaster Dr Ne, Salem, OR 97305-1435 2013-02-14
1487929980 King Dental PC Dentist 1855 W Nob Hill St Se Ste 200, Salem, OR 97302-5288 2012-03-15
Find all providers in SALEM

Competitor

Search similar providers

City SALEM
Zip Code 97310

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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