Dr. Matthew Braden Burns Miller
Periodontist Dentist - General Practice
1 Wahoo Ave
Groton
, Connecticut 06349
Dr. Matthew Braden Burns Miller
Periodontist Dentist - General Practice
1 Wahoo Ave
Groton
, Connecticut 06349
(301) 775-4866
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About
Features
Specialties
- General Practice
- Periodontist
Languages spoken
- English
Location
First Address
- Dr. Matthew Braden Burns Miller
- 12 Somerset Ln
- Old Lyme, CT
- Zip : 06371-1737
- Phone : (301) 775-4866
Second Address
- Dr. Matthew Braden Burns Miller
- 1 Wahoo Ave
- Groton, CT
- Zip : 06349
- Phone : (860) 694-3094
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Is Dr. Matthew Braden Burns Miller a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 1223G0001X | General Practice | DE00009227 | WA |
| N | 213EG0000X | General Practice | DE00009227 | WA |
| Y | 1223P0300X | Periodontist | 12339 | CT |
National Provider Identifier
| NPI | 1043207004 |
|---|---|
| Provider Name | Dr. Matthew Braden Burns Miller |
| First Address | Old Lyme, CT 06371-1737 |
| Second Address | Groton, CT 06349 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/10/2005 |
| Last Update Date | 16/10/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.