Provider Demographics
NPI:1730247198
Name:THOMAS J MILLER DDS INC
Entity type:Organization
Organization Name:THOMAS J MILLER DDS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:SR
Authorized Official - Credentials:DDS
Authorized Official - Phone:614-885-5525
Mailing Address - Street 1:55 CAREN AVENUE
Mailing Address - Street 2:SUITE 380
Mailing Address - City:WORTHINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:43085-2599
Mailing Address - Country:US
Mailing Address - Phone:614-885-5525
Mailing Address - Fax:614-885-5524
Practice Address - Street 1:55 CAREN AVENUE
Practice Address - Street 2:SUITE 380
Practice Address - City:WORTHINGTON
Practice Address - State:OH
Practice Address - Zip Code:43085-2599
Practice Address - Country:US
Practice Address - Phone:614-885-5525
Practice Address - Fax:614-885-5524
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH300193911223P0300X
OH300118611223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0300XDental ProvidersDentistPeriodonticsGroup - Single Specialty