Provider Demographics
NPI:1669420329
Name:MILLER, EMILIE DOAN-THANH (DMD)
Entity type:Individual
Prefix:DR
First Name:EMILIE
Middle Name:DOAN-THANH
Last Name:MILLER
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:DR
Other - First Name:EMILIE
Other - Middle Name:DOAN-THANH
Other - Last Name:VU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:54 MIDDLESEX TPKE
Mailing Address - Street 2:SUITE 104
Mailing Address - City:BURLINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:01803-4908
Mailing Address - Country:US
Mailing Address - Phone:781-309-7086
Mailing Address - Fax:
Practice Address - Street 1:54 MIDDLESEX TPKE
Practice Address - Street 2:SUITE 104
Practice Address - City:BURLINGTON
Practice Address - State:MA
Practice Address - Zip Code:01803-4908
Practice Address - Country:US
Practice Address - Phone:781-272-1288
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-05
Last Update Date:2016-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA213631223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice