Dr. Rodric Ledell Miller, D.D.S.
Dentist, Pediatric Dentistry in Memphis, TN. Individual provider (NPI-1).
Details
- NPI
- 1194714014
- Entity type
- Individual (NPI-1)
- Name
- Dr. Rodric Ledell Miller
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 14, 2005
- Certification date
- Apr 21, 2023
- Last updated
- Apr 21, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223P0221X | Dentist, Pediatric Dentistry | 7946 | TN | Yes |
| 1223G0001X | Dentist, General Practice | DS0000007946 | TN |
Practice location
5124 Stage RdMemphis, TN 38134-3164
Phone 901-373-5433 · Fax 901-373-7322
Mailing address
5124 Stage RdMemphis, TN 38134-3164
Phone 901-373-5433 · Fax 901-373-7322
Other practice locations
Memphis, TN 38134-3149
Phone 901-373-5433 · Fax 901-800-1762
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 36 Pediatric Dentistry providers in Memphis · All 16,727 providers in Memphis
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