DR. LAWRENCE GARY MILLER JR. (NPI# 1053457960) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053457960 |
| Entity Type | Individual |
| Full Name | DR. LAWRENCE GARY MILLER JR. |
| Credential | D.M.D. |
| Practice Address |
263 California Ave Spartanburg SC 29303-2271 |
| Practice Telephone | 8646999931 |
| Practice Fax Number | 8646999932 |
| Mailing Telephone | 8646999931 |
| Mailing Fax Number | 8646999932 |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2012-07-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 4109 | SC | Dental Providers |
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
784 | SC | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | ZX4109 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982210845 | Lawrence Adams Miller | Interpreter | 503 E Alder St, Walla Walla, WA 99362-2013 | 2020-09-16 |
| 1801946330 | Lawrence Miller | Dentist | 2626 E 14th St Ste 206, Brooklyn, NY 11235-3967 | 2007-01-10 |
| 1972665248 | Lawrence G Miller | Internal Medicine | 118 Upland Rd, Waban, MA 02468-2005 | 2006-12-14 |
| 1720169568 | Lawrence E Miller | Dentist | 136 E Cottom Ave, New Albany, IN 47150 | 2006-10-18 |
| 1528151909 | Lawrence Anthony Miller | Psychologist | 1155 N Mayfair Rd Fl 3, Milwaukee, WI 53226-3464 | 2006-09-30 |
| 1871609172 | Lawrence Miller | Chiropractor | 1636 County Road E E, Saint Paul, MN 55110-4637 | 2006-08-21 |
| 1417979865 | Lawrence Gordon Miller IIi | Legal Medicine | 8002 Discovery Dr, Suite 101, Richmond, VA 23229-8601 | 2006-07-24 |
| 1467472514 | Lawrence S. Miller | Dentist | 156 Andover St, #220, Danvers, MA 01923-1468 | 2006-07-20 |
| 1649822735 | Lawrence Alan Miller | Behavior Technician | 10926 S Tryon St Ste E, Charlotte, NC 28273-4154 | 2019-07-10 |
| 1558770024 | Lawrence C Miller | Dentist | 22 State Rd, Paoli, PA 19301-1830 | 2014-08-08 |
| Street Address |
263 CALIFORNIA AVE |
| City | SPARTANBURG |
| State | SC |
| Zip Code | 29303-2271 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508473265 | Upstate Endodontics, Inc. | Dentist | 263 California Ave, Spartanburg, SC 29303-2271 | 2020-09-28 |
| 1205195047 | Miller Endodontics, Pa | Clinic/Center | 263 California Ave, Spartanburg, SC 29303-2271 | 2012-05-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013532126 | Adam Joseph Fulcher | Family Medicine | Center for Family Medicine, 853 N. Church Street, Suite 510, Spartanburg, SC 29303 | 2020-06-15 |
| 1275011652 | Tri-state Medical Supplies, North Grove | Durable Medical Equipment & Medical Supplies | 1330 Boiling Springs Rd Ste 2900, Spartanburg, SC 29303 | 2018-07-30 |
| 1992227151 | Roxanne Pope | Speech-Language Pathologist | 290 N Grove Medical Park Dr., Spartanburg, SC 29303 | 2017-07-10 |
| 1861934879 | Cortney Redmond Mckinney I | Counselor | 250 Dewey Sve., Spartanburg, SC 29303 | 2016-11-08 |
| 1578011474 | Instride Foot and Ankle Specialists, Pllc | Podiatrist | 269 North Grove Medical Drive, Spartanburg, SC 29303 | 2016-09-20 |
| 1023477536 | Whitney Brooke Terry | Physician Assistant | 391 Serpentine Dr Ste 250, Spartanburg, SC 29303 | 2016-02-12 |
| 1306244348 | Medcare Urgent Care Spartanburg, LLC | Clinic/Center | 301 E Wood Street, Spartanburg, SC 29303 | 2014-12-08 |
| 1508201393 | Tom Ju | Anesthesiology | 1330 Boiling Springs Rd Ste 2700, Spartanburg, SC 29303 | 2013-05-07 |
| 1295072312 | Marie O'dell | Registered Nurse | 7 698 Howard Street, Spartanburg School District, Spartanburg, SC 29303 | 2013-01-09 |
| 1518203330 | Sherard Hamilton Ansley | Speech-Language Pathologist | 698 Howard St., Spartanburg School District 7, Spartanburg, SC 29303 | 2012-12-26 |
| Find all providers in zip 29303 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194873653 | Michael A. Zimmerman | Dentist | 127 Southport Rd, Spartanburg, SC 29306-3815 | 2007-01-08 |
| 1033227772 | William Miller Edwards | Dentist | 154 Country Club Rd, Spartanburg, SC 29302 | 2006-08-25 |
| 1922115658 | Carolina Aesthetic Dentistry Pa | Dentist | 383 South Pine Street, Suite 3, Spartanburg, SC 29302 | 2006-08-25 |
| 1508473265 | Upstate Endodontics, Inc. | Dentist | 263 California Ave, Spartanburg, SC 29303-2271 | 2020-09-28 |
| 1427336239 | Brett W. Hill | Dentist | 154 Country Club Rd, Spartanburg, SC 29302-3364 | 2011-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710442967 | Central Carolina Endodontics Pa | Dentist | 888 Cook Road, Orangeburg, SC 29118 | 2019-02-01 |
| 1881007946 | Intercoastal Endo, PC | Dentist | 4382 Oleander Dr, Myrtle Beach, SC 29577 | 2014-06-06 |
| 1568775468 | Kool Smiles Sc-2, PC | Dentist | 5422 Forest Dr, Columbia, SC 29206-5412 | 2010-07-20 |
| 1992018899 | Kool Smiles Sc-2, PC | Dentist | 4400 Dorchester Rd Ste 108, Charleston, SC 29405-6863 | 2010-07-20 |
| 1912230335 | Omar James Jones IIi | Dentist | 237 Plantation Dr, Manning, SC 29102-9504 | 2009-09-16 |
| 1972733624 | Robert P Bethea | Dentist | 34 Lakeview Cir, Columbia, SC 29206-3214 | 2009-07-15 |
| 1295975977 | Jason H. Cohen, Dmd, LLC | Dentist | 198 Rutledge Ave Ste 3, Charleston, SC 29403-5834 | 2009-02-20 |
| 1508029554 | Gavin L Criser | Dentist | 220 Cherokee Rd Ste B, Florence, SC 29501-5225 | 2008-07-09 |
| 1912188525 | Michael Eugene Piepenbring | Dentist | 1109 Memorial Ln Ste B, Georgetown, SC 29440-3369 | 2007-11-26 |
| 1962600437 | Michael John Pfister | Dentist | 101 Finley St, Clemson, SC 29631-1583 | 2007-07-06 |
| Find all providers with the same taxonomy | ||||
| City | SPARTANBURG |
| Zip Code | 29303 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.