DR. TATUM MILES


Address: 959 Myrtle Ave, Eureka, CA 95501
Phone: 7074427078

DR. TATUM MILES (NPI# 1417474321) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1417474321
Entity Type Individual
Full Name DR. TATUM MILES
Credential DDS
Practice Address 959 Myrtle Ave
Eureka
CA 95501
Mailing Address 670 9th St Ste 203
Arcata
CA 95521-6249
Practice Telephone 7074427078
Practice Fax Number 7074427298
Mailing Telephone 7078268633
Mailing Fax Number 7078268638
Enumeration Date 2017-08-23
Last Update Date 2019-08-20
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 122300000X Dentist 104195 CA Dental Providers
N 1223G0001X Dentist
Specialization: General Practice
2901022424 MI Dental Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
2671 W. Grand Blvd, Detroit, MI 48208 3138714807

Office Location

Street Address 959 MYRTLE AVE
City EUREKA
State CA
Zip Code 95501

Providers in the same location

NPI Name Taxonomy Address Enumeration
1073609996 Diane Teresa Patkowski Dentist 959 Myrtle Ave, Eureka, CA 95501-1219 2006-10-05
1942815402 Jennifer Nicole Stone Dentist 959 Myrtle Ave, Eureka, CA 95501-1219 2020-09-11
1326667171 Zena El Jandali El Rifai Student in an Organized Health Care Education/Training Program 959 Myrtle Ave, Eureka, CA 95501-1219 2020-04-12
1861021354 Brittany Daniel Student in an Organized Health Care Education/Training Program 959 Myrtle Ave, Eureka, CA 95501-1219 2020-04-06
1619530755 So-yon Jang Student in an Organized Health Care Education/Training Program 959 Myrtle Ave, Eureka, CA 95501-1219 2019-04-15
1023503687 Armita Dehmoobadsharifabadi Student in an Organized Health Care Education/Training Program 959 Myrtle Ave, Eureka, CA 95501-1219 2018-06-26
1053845644 Marisa M Tegarden Dental Hygienist 959 Myrtle Ave, Eureka, CA 95501-1219 2017-04-20
1427582063 Giuliana Di Piazza Student in an Organized Health Care Education/Training Program 959 Myrtle Ave, Eureka, CA 95501-1219 2017-04-19
1447701446 Tiffany Nicole Forbes Dental Hygienist 959 Myrtle Ave, Eureka, CA 95501-1219 2016-10-14
1417317165 Christine Aeyeon Choi Dentist 959 Myrtle Ave, Eureka, CA 95501-1219 2016-02-23
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1538795919 Eric Meyer Goldsmith Physical Therapist 2306 Dean Street, Eureka, CA 95501 2020-03-18
1609406404 Humboldt County Behavioral Health Community/Behavioral Health 638 W Clark St., Bldg. E, Eureka, CA 95501 2020-01-21
1740831767 Jacqueline Renee Coghill Nurse Practitioner Waterfront Recovery Services, 2413 2nd St, Eureka, CA 95501 2019-09-20
1982177275 Jenny Bugnacki Case Manager/Care Coordinator 721 Wood St, Eureka, CA 95501 2019-01-09
1073023107 Humboldt Recovery Center Inc. Substance Abuse Rehabilitation Facility 1303 11th St, Eureka, CA 95501 2017-10-03
1730698283 Gabriel Holtski Naturopath 1632 Broadway, Suite #252, Eureka, CA 95501 2017-09-27
1164951851 Redwood Community Services, Inc. Foster Care Agency 2426 6th St, Eureka, CA 95501 2017-06-07
1033651922 Narum Clinical Services Social Worker 930 3rd St, Suite 201, Eureka, CA 95501 2016-11-09
1750839510 Sierra Marie Evers-hellmich Physical Medicine & Rehabilitation 2103 Myrtle Avenue, Eureka, CA 95501 2016-09-21
1558720623 Jennifer Vu Behavioral Analyst 730 7th St Ste A, Eureka, CA 95501 2016-02-18
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Taxonomy Information

Taxonomy Code 122300000X
Grouping Dental Providers
Classification Dentist

Taxonomy Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1982942652 Angela Fang Dentist 604 Harris St, Eureka, CA 95503-4448 2013-01-30
1154620102 Luke Andrew Omey Dentist 2752 Harrison Ave Ste B, Eureka, CA 95501-4738 2011-03-16
1558688796 Robert Bruce Berg Dentist 212 J St., Eureka, CA 95501 2010-04-28
1437303989 James Eugene Anderson Dentist 708 G. Ave, Eureka Dental, Inc., Eureka, SD 57437-0070 2008-11-11
1780873885 Adam Boushek Kochendorfer Dentist 212 J St, Eureka, CA 95501-0524 2007-10-15
1689862435 Kenneth S Singleton Dds Dentist 624 Harris St, Eureka, CA 95503-4448 2007-10-05
1386852796 Richard F. Wolven Dentist 2750 Harrison Ave, Eureka, CA 95501-4738 2007-05-18
1598882789 Stephen C Angeloff Dentist 3125 G Street, Eureka, CA 95503-5301 2007-03-23
1922147073 Teresa Nmn Kosmac Dentist 3111 G St, Eureka, CA 95503 2007-02-05
1194873133 Arthur G Romero Dentist 97 Hilltop Village Center Dr, Suite A&b, Eureka, MO 63025-1184 2007-01-08
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Competitor

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City EUREKA
Zip Code 95501

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Dataset Information

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.

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