Search › Kentucky › 1223S0112X
Mark Miller, DDS
NPI 1104982016 · on the registry since 2006
Practice
- Address
- 1211 W Broadway Unit 106
Louisville, KY 40203 - Phone
- (270) 885-0165
- Fax
- (270) 886-2224
- Organisation at this address
- Kool Smiles, Psc
12th Street Chiropractic & Injury Rehabilitation, PscInferred from a shared address, not stated in the registry. - Clinicians at this address
- 3
Additional practice sites
- 2400 Richmond Rd Ste 133, Texarkana, TX
Registry record
- Primary taxonomy
- 1223S0112X
1223S0112X
- Also registered as
- 1223D0004X
1223S0112X
204E00000X - Licence states on file
- KY, TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-06-24
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kentucky