DR. EDWARD RAY MILLER JR. (NPI# 1700809563) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700809563 |
| Entity Type | Individual |
| Full Name | DR. EDWARD RAY MILLER JR. |
| Credential | DMD |
| Practice Address |
4121 Elm Park Dr Saint Louis MO 63128 |
| Mailing Address |
3700 N Belt W Belleville IL 62226-5629 |
| Practice Telephone | 3148452730 |
| Mailing Telephone | 6182333701 |
| Mailing Fax Number | 6182336721 |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2018-07-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 19-026162 | IL | Dental Providers |
| Y | 1223G0001X |
Dentist Specialization: General Practice |
2018014802 | MO | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487929006 | Edward Judson Miller | Internal Medicine | 1096 Pinehurst Dr, Las Vegas, NV 89109-1522 | 2012-03-14 |
| 1477874402 | Edward H Miller | Orthopaedic Surgery | 9795 Fox Hollow Ln, Cincinnati, OH 45243-1629 | 2010-06-14 |
| 1073676045 | Edward J Miller | Dentist | 115 W Commercial Ave, Anaconda, MT 59711-2246 | 2006-12-19 |
| 1619045671 | Edward C Miller | Obstetrics & Gynecology | 2434 Apache Ct, Janesville, WI 53545-4352 | 2006-11-30 |
| 1417032087 | Edward Bowling Miller | Dentist | 410 W Wheatland Rd, Duncanville, TX 75116-4620 | 2006-10-25 |
| 1164518932 | Edward Miller Jr. | Pharmacist | 66 Derbes Dr, Gretna, LA 70053-4934 | 2006-10-05 |
| 1972694081 | Edward Earl Miller | Social Worker | 117 Belcher Rd, Farmington, ME 04938-5713 | 2006-09-27 |
| 1154438299 | Edward Mark Miller | Dentist | 504 East Cornwallis Dr J, Greensboro, NC 27405 | 2006-08-24 |
| 1528000528 | Edward M Miller | Radiology | 1610 Ygnacio Valley Rd, Walnut Creek, CA 94598-3123 | 2006-06-12 |
| 1225095391 | Edward A Miller | Family Medicine | 794 Eastland Dr., Fhs Attn: Annie Doyea, Twin Falls, ID 83301 | 2006-05-01 |
| Street Address |
4121 ELM PARK DR |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932682812 | Mariah Imani Phillips | Dentist | 4121 Elm Park Dr, Saint Louis, MO 63128-1918 | 2018-09-07 |
| 1114369097 | Allison Marie Winkler | Dentist | 4121 Elm Park Dr, Saint Louis, MO 63128-1918 | 2013-07-22 |
| 1649610668 | Alex Sharifian Dds Mehlville Modern Dentistry PC | Dentist | 4121 Elm Park Dr, Saint Louis, MO 63128-1918 | 2013-07-05 |
| 1982870663 | Marc Gayed | Dentist | 4121 Elm Park Dr, Saint Louis, MO 63128 | 2008-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235771155 | James T Fetsch Dmd LLC | Dentist | 10004 Kennerly Rd Suite 240, Saint Louis, MO 63128 | 2019-10-11 |
| 1326504655 | Nikodem Dental Holdings | Dentist | 4337 Butler Hill Rd Suite G, St Louis Mo, MO 63128 | 2019-02-12 |
| 1932678505 | Michelle Anne Arvidson | Physical Therapy Assistant | Elite Physical Therapy, 12608 Lamplighter Square Shopping Center, St. Louis, MO 63128 | 2018-11-13 |
| 1245726710 | Kristen Rider | Nurse Practitioner | 9964 Kennerly Rd Ste D, Saint Louis, MO 63128 | 2018-07-07 |
| 1306217427 | Sophia Bednarski | Dentist | 12660 Lamplighter Square Shopping Center, St. Louis, MO 63128 | 2015-10-15 |
| 1427434224 | Darcie Burrus | Counselor | 12523 Old Tesson Rd G, St Louis, MO 63128 | 2015-08-04 |
| 1710368584 | Sara Hawatmeh | Internal Medicine | 12345 W Bend Dr Ste 304, Saint Louis, MO 63128 | 2015-06-17 |
| 1871989590 | Celia Grace Montes-kolence | Speech-Language Pathologist | 12335 W Bend Drive, Saint Louis, MO 63128 | 2015-04-09 |
| 1245629302 | Marius Antonio Evans | Dentist | 9911 Kennerly Rd., Suite G, St. Louis, MO 63128 | 2015-01-13 |
| 1801230313 | Sarah Elizabeth Walsh | Emergency Medicine | 10010 Kennerly Road, Emergency Department, St. Anthony's Medical Center, St. Louis, MO 63128 | 2013-04-26 |
| Find all providers in zip 63128 | ||||
| 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 |
|---|---|---|---|---|
| 1801493762 | Alexander Ahmadi | Dentist | 4171 Crescent Dr Ste 102, Saint Louis, MO 63129-3645 | 2020-10-05 |
| 1396353876 | Michael Rehme Jr. | Dentist | 2821 N Ballas Rd Ste 245, Saint Louis, MO 63131-2378 | 2020-07-21 |
| 1235771155 | James T Fetsch Dmd LLC | Dentist | 10004 Kennerly Rd Suite 240, Saint Louis, MO 63128 | 2019-10-11 |
| 1013579010 | Jasmine Esmailzadegan | Dentist | 200 S Kirkwood Rd Ste 90, Saint Louis, MO 63122-4351 | 2019-07-01 |
| 1194295964 | Rivka Goldenhersh, D.m.d., LLC | Dentist | 620a N Mcknight Rd Ste 2a, Saint Louis, MO 63132 | 2018-12-04 |
| 1952895252 | Feras Al Khatib | Dentist | 7809 Watson Rd, Saint Louis, MO 63119-5408 | 2018-06-20 |
| 1255825675 | Brenton Patrick Ruopp | Dentist | 16 Hampton Village Plz Ste 229, Saint Louis, MO 63109-2111 | 2018-06-19 |
| 1598258501 | Daniel Thomas Doherty | Dentist | 621 S New Ballas Rd # 10, Saint Louis, MO 63141-8232 | 2018-06-13 |
| 1649700964 | Adam J Bree | Dentist | 605 Old Ballas Rd Ste 118, Saint Louis, MO 63141-7070 | 2017-06-19 |
| 1811448863 | We Care Mobile Dental LLC | Dentist | 6903 Waterman Ave, Saint Louis, MO 63130-4333 | 2016-10-14 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63128 |
Please comment or provide details below to improve the information on DR. EDWARD RAY MILLER JR..
| 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.