Wellformed AI

NPI 1962892265 · live from the CMS NPI Registry

A. Simpson Miller Dental Corporation

Dentist, General Practice in La Jolla, CA. National Provider Identifier 1962892265, active.

NPI record

NPI1962892265 Type 2 · organization
StatusActive
Primary specialtyDentist, General Practice 1223G0001X
Practice location888 Prospect St, Suite 200, La Jolla, CA 92037
Practice phone858-263-2763
EnumeratedJanuary 26, 2015
Last updatedJanuary 26, 2015
Authorized officialAngela Miller, President

Taxonomies and licenses

TaxonomyCodeLicense
Dentist, General Practice primary1223G0001X58453 (CA)

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