DR. DAVID DOUGLAS MILEY (NPI# 1871756130) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1871756130 |
Entity Type | Individual |
Full Name | DR. DAVID DOUGLAS MILEY |
Credential | D.M.D. |
Practice Address |
1034 S Brentwood Blvd Suite 740 Saint Louis MO 63117-1223 |
Practice Telephone | 3147254221 |
Practice Fax Number | 3147254319 |
Mailing Telephone | 3147254221 |
Mailing Fax Number | 3147254319 |
Enumeration Date | 2008-07-08 |
Last Update Date | 2008-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223P0300X |
Dentist Specialization: Periodontics |
014578 | MO | Dental Providers |
Street Address |
1034 S BRENTWOOD BLVD SUITE 740 |
City | SAINT LOUIS |
State | MO |
Zip Code | 63117-1223 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720082233 | Levi S Kirkland Jr. | Surgery | 1034 S Brentwood Blvd, Suite 694, Saint Louis, MO 63117-1223 | 2005-06-13 |
1770028953 | Christina Cammon | Nurse Practitioner | 1034 S Brentwood Blvd, Suite 516, Saint Louis, MO 63117-1223 | 2016-12-27 |
1396289468 | Natalie Beth Antin | Social Worker | 1034 S Brentwood Blvd, Suite 555, Saint Louis, MO 63117-1223 | 2016-12-08 |
1417490772 | Patrick Alan Behnke | Nurse Practitioner | 1034 S Brentwood Blvd, Suite 600, Saint Louis, MO 63117-1223 | 2016-11-18 |
1457803611 | St Louis Trauma Counseling LLC | Social Worker | 1034 S Brentwood Blvd, Suite 555, Saint Louis, MO 63117-1223 | 2016-11-03 |
1912459439 | 360 Health Care, LLC | In Home Supportive Care | 1034 S Brentwood Blvd, Suite 450a, Saint Louis, MO 63117-1223 | 2016-11-01 |
1083162416 | John Petrovich | Specialist | 1034 S Brentwood Blvd, Suite 450a, Saint Louis, MO 63117-1223 | 2016-09-14 |
1609320076 | Allyson Graves | Speech-Language Pathologist | 1034 S Brentwood Blvd, #300, Saint Louis, MO 63117-1223 | 2016-08-15 |
1609237718 | Christine Shore-fitzgerald | Social Worker | 1034 S Brentwood Blvd, Suite 555, Saint Louis, MO 63117-1223 | 2016-03-16 |
1164883518 | St. Louis Dbt, LLC | Social Worker | 1034 S Brentwood Blvd, Suite 555, Saint Louis, MO 63117-1223 | 2016-03-13 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255956611 | Efehi Kelly Ogbomo | Student in an Organized Health Care Education/Training Program | 6420 Clayton Rd, Suite 2218, St. Louis, MO 63117 | 2020-06-11 |
1619533890 | Abdul Rauf | Student in an Organized Health Care Education/Training Program | 6420 Clayton Road. Ssm Health St. Mary's Hospital, St. Louis, MO 63117 | 2019-05-14 |
1083278477 | Mohamed Maali Gumaa Mohamed | Student in an Organized Health Care Education/Training Program | 6420 Clayton Road Ssm St. Mary's Hospital, Department of Internal Medicine, St. Louis, MO 63117 | 2019-05-01 |
1750945556 | Samrat Jun Jayanth | Student in an Organized Health Care Education/Training Program | 6420 Clayton Road, Ssm Health St Mary's Hospital, St. Louis, MO 63117 | 2019-04-26 |
1215491329 | Latonya Allen | Counselor | 1612 S. Big Bend Blvd, St. Louis, MO 63117 | 2019-01-23 |
1265917025 | Blue Stars Therapy, LLC | Occupational Therapist | 1101 Edward Terrace, Apt A, St. Louis, MO 63117 | 2018-09-27 |
1770060014 | Ultra Care Home Services LLC | Home Health | 7353 Dale Ave, Saint Louis, MO 63117 | 2018-07-19 |
1235623562 | Melissa Valerie Taylor | Counselor | Psychological Services of St Louis, LLC, 7110 Oakland Ave, St Louis, MO 63117 | 2018-06-20 |
1124517289 | Jideofor Ebony Obodozie | Student in an Organized Health Care Education/Training Program | 6420 Clayton Road, Ssm St. Mary's Hospital, St. Louis, MO 63117 | 2018-05-04 |
1770071706 | Sivaram Prabhuji Muppaneni | Student in an Organized Health Care Education/Training Program | Ssm St Mary's Hospital, 6420 Clayton Road, St. Louis, MO 63117 | 2018-04-25 |
Find all providers in zip 63117 |
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 |
---|---|---|---|---|
1598988909 | Matthew Shelby Slaven | Dentist | 3555 Sunset Office Dr Ste C105, Saint Louis, MO 63127-1014 | 2007-04-11 |
1093737264 | William Cohen | Dentist | 777 S New Ballas Rd Ste 217w, Saint Louis, MO 63141-8717 | 2006-07-24 |
1912528548 | Parth Mangrola | Dentist | 3320 Rutger St, Saint Louis, MO 63104-1122 | 2020-05-05 |
1124212790 | Periodontics Ltd | Dentist | 3555 Sunset Office Dr Ste C105, Saint Louis, MO 63127-1014 | 2007-08-28 |
1164623963 | William B Albair | Dentist | 3555 Sunset Office Dr, Suite C-105, Saint Louis, MO 63127-1015 | 2007-05-30 |
1417166000 | Mary Hagan Burke | Dentist | 5600 Oakland Ave, Dental Hygiene St Louis Community College-forest Park, Saint Louis, MO 63110-1393 | 2007-05-21 |
1003021833 | Raphael Ivan Williams | Dentist | 8515 Delmar Blvd, 217, Saint Louis, MO 63124-2168 | 2007-05-14 |
1720290372 | Deshmukh Dds, PC | Dentist | 1034 S Brentwood Blvd, Suite #740, Saint Louis, MO 63117-1223 | 2007-05-04 |
1174746564 | George V Duello | Dentist | 3555 Sunset Office Dr, Suite C105, Saint Louis, MO 63127-1015 | 2007-04-11 |
1861523581 | Marwan Assaf | Dentist | 11709 Old Ballas Rd, Suite 206, Saint Louis, MO 63141-7029 | 2007-03-07 |
Find all providers in SAINT LOUIS |
City | SAINT LOUIS |
Zip Code | 63117 |
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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.