MARLENE A. MILLER, DMD, INC. (NPI# 1255537395) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255537395 |
| Entity Type | Organization |
| Organization Name | MARLENE A. MILLER, DMD, INC. |
| Practice Address |
18102 Irvine Blvd Suite 203 Tustin CA 92780-3402 |
| Mailing Address |
11705 Mcdougall Tustin CA 92782-3364 |
| Practice Telephone | 7145445337 |
| Practice Fax Number | 7145441558 |
| Mailing Telephone | 7145059477 |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2011-02-16 |
| Authorized Official Name | DR. MARLENE ALEXANDER MILLER (PRESIDENT) |
| Authorized Official Telephone | 7145445337 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
55613 | CA | Dental Providers |
| Street Address |
18102 IRVINE BLVD SUITE 203 |
| City | TUSTIN |
| State | CA |
| Zip Code | 92780-3402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902891252 | Cynthia Ann Cohen | Nurse Practitioner | 18102 Irvine Blvd, Suite 105, Tustin, CA 92780-3402 | 2005-09-13 |
| 1366781882 | Marlene Alexander Miller | Dentist | 18102 Irvine Blvd, Suite #203, Tustin, CA 92780-3402 | 2013-02-04 |
| 1992066302 | Andy Quoc Tran | Physical Therapist | 18102 Irvine Blvd, Suite 207, Tustin, CA 92780-3402 | 2012-06-01 |
| 1639444292 | Miguel Dominguez Md, A Professional Corporation | Non-Pharmacy Dispensing Site | 18102 Irvine Blvd, Ste 208, Tustin, CA 92780-3402 | 2012-03-15 |
| 1255608543 | Morvarid Madani | Dentist | 18102 Irvine Blvd, Suite 200, Tustin, CA 92780-3402 | 2011-11-30 |
| 1801196514 | Dimple Manchandia Dds, Inc | Dentist | 18102 Irvine Blvd, Suite 200, Tustin, CA 92780-3402 | 2010-10-27 |
| 1871734285 | Frank R. Villalobos | Internal Medicine | 18102 Irvine Blvd, Suite 103, Tustin, CA 92780-3402 | 2009-03-13 |
| 1720247455 | Pulmonary Consultants and Primary Care Physicians Medical Group, Inc. | Family Medicine | 18102 Irvine Blvd, Suite 105, Tustin, CA 92780-3402 | 2008-06-06 |
| 1598943946 | Uzma Nasim Md Inc | Psychiatry & Neurology | 18102 Irvine Blvd, # 206, Tustin, CA 92780-3402 | 2008-02-07 |
| 1639368251 | Clifford M Phipps | Dentist | 18102 Irvine Blvd, Ste #210, Tustin, CA 92780-3402 | 2007-10-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437780947 | John Michael Michael | Pharmacist | 14481 Wildeve Ln, Tustin, CA 92780 | 2020-02-03 |
| 1609426881 | Abigail Joy Maqsood | Behavior Technician | 290a S Prospect Ave, Tustin, CA 92780 | 2019-09-19 |
| 1255814711 | Hyun Dong Lee | Chiropractor | 14591 Newport Ave Ste 106, Tustin, CA 92780 | 2018-09-11 |
| 1346733573 | Elizabeth Kim Nguyen Dds Inc | Clinic/Center | 14521 Red Hill Ave, Tustin, CA 92780 | 2018-06-12 |
| 1255829503 | Hw Physical Therapy | Physical Therapist | 250 El Camino Real Ste 100, Tustin, CA 92780 | 2018-04-23 |
| 1912494352 | Gary Wayne Mcbeath | Marriage & Family Therapist | 17821 E 17th Street, Suite # 260, Tustin, CA 92780 | 2018-04-20 |
| 1104334598 | Catherine Bogues | Speech-Language Pathologist | 661 West 1st Street, Suite E, Tustin, CA 92780 | 2018-01-19 |
| 1972019941 | Lighthouse Behavioral Solutions | Behavioral Analyst | 18002 Irvine Blvd., Suite 202c, Tustin, CA 92780 | 2017-12-28 |
| 1629597299 | Lifecab, LLC | Non-emergency Medical Transport (VAN) | 13732 Newport Ave, Suite #1, Tustin, CA 92780 | 2017-09-14 |
| 1437606555 | Tustin Speech Therapy, Inc. | Speech-Language Pathologist | 661 West First Street, Suite E, Tustin, CA 92780 | 2016-09-07 |
| Find all providers in zip 92780 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275788994 | Rebecca L Hart | Dentist | 12569 Newport Avenue, Tustin, CA 92780 | 2008-11-21 |
| 1487630992 | Stephen Robert Shepherd | Dentist | 12569 Newport Ave, Tustin, CA 92780-2420 | 2005-12-16 |
| 1790993913 | Mary M. Jew Dds, A Professional Organization | Dentist | 18102 Irvine Blvd, Suite 200, Tustin, CA 92780-3402 | 2007-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982204780 | Richard Koh Dds Ms Inc. | Dentist | 11 Delano, Irvine, CA 92602-2462 | 2020-10-30 |
| 1225641293 | Richard T. Kao, Dds, Phd - Dental Corp. | Dentist | 1660 Willow St Ste 3, San Jose, CA 95125-5101 | 2020-08-28 |
| 1093325722 | Sergio Florencio Jr, Dds, Dmsc, Inc | Dentist | 1802 San Miguel Dr, Walnut Creek, CA 94596-8606 | 2020-08-06 |
| 1205463445 | Sharona Dayan, Dds, Inc | Dentist | 9735 Wilshire Blvd Ste 211, Beverly Hills, CA 90212-2102 | 2020-03-26 |
| 1215573522 | Vanessa Bikhazi | Dentist | 2372 Se Bristol St Ste A, Newport Beach, CA 92660-0755 | 2019-11-21 |
| 1063057008 | Robert Lacrampe | Dentist | 880 W 1st St Apt 526, Los Angeles, CA 90012-2473 | 2019-11-13 |
| 1376194639 | Snow Nakano & Lopez Professional Dental Corporation | Dentist | 868 Auto Center Dr Ste A, Palmdale, CA 93551-4691 | 2019-09-26 |
| 1659926285 | Suman Ramakumar Dds Inc | Dentist | 1171 Homestead Rd Ste 175, Santa Clara, CA 95050-5484 | 2019-08-09 |
| 1912567058 | Andrew Peterson Dmd Ms PC | Dentist | 9856 Hibiscus Ct, Alta Loma, CA 91737-3637 | 2019-06-20 |
| 1124686233 | Danoukh Dental Corp. | Dentist | 12271 La Mirada Blvd Ste 201, La Mirada, CA 90638-1336 | 2019-06-04 |
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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.