Whalio Doctors

NPI 1003094079

Larry Randall Miller, DMD

Practitioner Dentist Flowood, MS

Practice location

Address
996 Top St, Flowood, MS 39232-9541
Phone
(601) 936-2526
Fax
(601) 936-2426

Registered specialties

Dentist Primary
Dental Providers Taxonomy 122300000X Licence 2498-89 (MS)

Registry record

NPI
1003094079
Entity type
Individual
Sex (as registered)
Male
NPI issued
1 Feb 2008
Record last updated
1 Feb 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.