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NPI 1710433545 · live from the CMS NPI Registry

Tyson Miller, D.M.D.

Dentist, Orthodontics and Dentofacial Orthopedics in Las Vegas, NV. National Provider Identifier 1710433545, active.

NPI record

NPI1710433545 Type 1 · individual
StatusActive
Primary specialtyDentist, Orthodontics and Dentofacial Orthopedics 1223X0400X
Practice location3600 N Buffalo Dr., #110, Las Vegas, NV 89129
Practice phone702-568-1600
Mailing address3600 N Buffalo Dr, #110, Las Vegas, NV 89129
EnumeratedAugust 31, 2016
Last updatedOctober 19, 2016
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Dentist, Orthodontics and Dentofacial Orthopedics primary1223X0400XS3-287 (NV)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.