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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223G0001X |
Dentist Specialization: General Practice |
D4753 | OR | Dental Providers |
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 |
Street Address |
3405 DERR PARK RD SE |
City | SALEM |
State | OR |
Zip Code | 97310-0001 |
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 Code | 1223G0001X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | General Practice |
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 |
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 |
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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.