AMBER MILLER (NPI# 1568748168) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1568748168 |
Entity Type | Individual |
Full Name | AMBER MILLER |
Credential | DDS |
Practice Address |
375th Medical Group 310 West Losey Street Scott Afb IL 62225 |
Practice Telephone | 6182562141 |
Mailing Telephone | 6182562141 |
Enumeration Date | 2011-10-26 |
Last Update Date | 2018-04-18 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223E0200X |
Dentist Specialization: Endodontics |
DD3489 | NM | Dental Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477050029 | Amber N Miller | Registered Nurse | 4088 S Ticonderoga Way, Boise, ID 83706-5950 | 2018-04-10 |
1023525474 | Amber Diamond Miller | Behavior Technician | 1730 South Federal Highway, 268, Delray Beach, FL 33483 | 2018-01-08 |
1811323678 | Amber Miller | Psychologist | 177 Bovet Rd Ste 300, San Mateo, CA 94402 | 2013-09-24 |
1790122737 | Amber L Miller | Social Worker | 408 Park St Se, Vienna, VA 22180-5805 | 2013-05-31 |
1043576937 | Amber Miller | Social Worker | 941 N 2500 East Rd, Assumption, IL 62510-8026 | 2012-04-05 |
1750672564 | Amber Marie Miller | Physical Therapist | 645 Sebastian Blvd Ste 1, Sebastian, FL 32958-4398 | 2011-04-27 |
1598075376 | Amber Lea Miller | Chiropractor | 3440 Federal Dr Ste 120, Eagan, MN 55122-3516 | 2010-10-14 |
1437472149 | Amber Marie Miller | Licensed Practical Nurse | 2001 Sheffield St, Middletown, OH 45044-7042 | 2010-03-09 |
1194957332 | Amber Miller | Counselor | 711 W North Ave Ste 202, Chicago, IL 60610-1010 | 2009-08-21 |
1932393758 | Amber Joyce Miller | Counselor | 11760 Commonwealth Dr, Louisville, KY 40299-2344 | 2007-09-05 |
Street Address |
375TH MEDICAL GROUP 310 WEST LOSEY STREET |
City | SCOTT AFB |
State | IL |
Zip Code | 62225 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336488246 | Kristi Golabek Mcelroy | Dentist | 375th Medical Group, 310 West Losey Street, Scott Afb, IL 62225 | 2013-02-13 |
1366702870 | Crystal Vaughn Kondowe | Internal Medicine | 375th Medical Group, 310w Losey St, Scott Afb, IL 62225 | 2012-05-18 |
1063795177 | Emily Ann Svezia | Pharmacist | 375th Medical Group, 310 West Losey Street, Scott Afb, IL 62225 | 2011-09-25 |
1699055434 | Sonia Sharma | Psychologist | 375th Medical Group, 310 West Losey Street, Scott Afb, IL 62225 | 2011-08-24 |
1720367394 | Thomas Heidenreich | Dentist | 375th Medical Group, 310 West Losey Street, Scott Afb, IL 62225 | 2011-08-12 |
1356639231 | Katelyn Mccormick Hutchison | Physical Therapist | 375th Medical Group, 310 West Losey Street, Scott Afb, IL 62225 | 2011-07-13 |
1649591751 | Twana Sue Curry | Social Worker | 375th Medical Group, 310 W. Losey St., Scott Afb, IL 62225-5252 | 2010-06-13 |
1366636227 | Brett Garland Perlberg | Pharmacist | 375th Medical Group, 310 West Losey Street, Scott Afb, IL 62225 | 2007-09-04 |
1518180793 | Susan Kilian Graul | Pharmacist | 375th Medical Group, Scott Afb, IL 62225 | 2007-04-10 |
1114062395 | Cynthia J. Keyte | Social Worker | 375th Medical Group, 310 West Losey Street, Scott Afb, IL 62225 | 2007-02-21 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861011645 | Cheryl D Jones | Registered Nurse | 375th Mdg, 310 W. Losey Street, Scott Afb, IL 62225 | 2020-04-13 |
1649836123 | Benjamin Truong | Student in an Organized Health Care Education/Training Program | Scott Air Force Base, 307 West Losey Street Building #1535, Apo, AA 62225 | 2019-05-10 |
1558925669 | Brian Ng | Student in an Organized Health Care Education/Training Program | South Drive, Scott Afb, Illinois, Apo, AA 62225 | 2019-04-24 |
1841853710 | Lance Scott Mcgavin | Student in an Organized Health Care Education/Training Program | 307 West Losey Street., Building #1535, Scott Afb, IL 62225 | 2019-04-17 |
1629503180 | Joshua Bryce Kessack | General Practice | 375 Amds, 310 Losey St, Scott Afb, IL 62225 | 2017-04-21 |
1265988059 | Jennifer Nicole Laurence | Dentist | 703 Seibert Rd Ste 5, Scott Afb, IL 62225 | 2016-08-31 |
1578940755 | Usv Optical Inc | Eyewear Supplier (Equipment, not the service) | 207 W. Winters St., Bldg 1981, Scott Afb, IL 62225 | 2015-04-27 |
1891193652 | Diana Meyer | Social Worker | Scott Afb, Apo, AA 62225 | 2014-12-10 |
1801210273 | Robie Victoria Hughes | Registered Nurse | 310 W Losey Street, Scott Air Force Base, IL 62225 | 2014-02-06 |
1487998746 | Melissa Dawn Goff | Military Health Care Provider | 310 West. Losey Street, Scott Afb, IL 62225 | 2012-11-26 |
Find all providers in zip 62225 |
Taxonomy Code | 1223E0200X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Endodontics |
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124368584 | Scott Bryant | Dentist | 375 Mdg, 310 W. Losey Street, Scott Afb, IL 62225 | 2013-02-22 |
1255326856 | John M Yaccino | Dentist | 310 W Losey St, 375 Dental Squadron, Scott Afb, IL 62225-5250 | 2005-09-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669089777 | Sebastian Przybylo, Dmd, Pllc | Dentist | 350 S Northwest Hwy Ste 116, Park Ridge, IL 60068-4262 | 2020-09-24 |
1770126740 | Old Orchard Endodontics | Dentist | 4905 Old Orchard Ctr Ste 216, Skokie, IL 60077-4741 | 2019-10-23 |
1194380741 | Vasiliki Kytridou | Dentist | 2800 College Avenue Southern Il University School of De, Building 285, Alton, IL 62002 | 2019-05-08 |
1134782592 | Endodontics of Springfield | Dentist | 997 Clock Tower Dr Ste C, Springfield, IL 62704-1399 | 2019-04-20 |
1942793815 | Millennium Dental Specialist | Dentist | 1624 W Division St Ste B, Chicago, IL 60622-3908 | 2018-06-14 |
1588163364 | Advanced Endodontics, PC | Dentist | 103 S. Greenleaf Street, Suite K, Gurnee, IL 60031 | 2018-02-07 |
1518488055 | Seth Thomas Barnett | Dentist | 3601 General Electric Rd Ste 6, Bloomington, IL 61704-8566 | 2017-07-06 |
1023562857 | Jwwdental LLC | Dentist | 808 E Woodfield Rd, Suite 300, Schaumburg, IL 60173-4816 | 2016-08-10 |
1629453378 | Charles Richard Neach | Dentist | 801 S Paulina St Rm 302a, Chicago, IL 60612-7210 | 2015-07-23 |
1619360096 | Rajan Sharma | Dentist | 6319 Fairview Ave Ste 103, Westmont, IL 60559-2889 | 2015-03-10 |
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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.