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Deactivated NPI 1124368873 Deactivated / Inactive NPI Male Practitioner

Dr. Samuel B. Miller , DDS

Dentist - General Practice • Chipley, FL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Samuel Miller has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 17, 2013
NPI Deactivation Date August 24, 2021
Total Practice Duration ~8 Years of Practice (2013 – 2021)

Professional Overview & Biography Verified Profile Summary

Dr. Samuel Miller, DDS was a registered Dentist - General Practice practicing in Chipley, FL. Throughout an active medical career spanning 8 years, Dr. Miller provided care at the practice location at 1409 BRICKYARD RD until profile deactivation on 2021-08-24.

Practice Location & Contact Primary Location

Practice Address

1409 Brickyard Rd

Chipley, FL 324285967

Telephone 8506388008
Fax 8506388009

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Chipley, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 1.0 Yrs
State Avg: 15.0 Yrs
Regional Practice Density
4 Specialists

Practicing in Chipley, FL (7473 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License FL DN10690

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Samuel Ward , MD

Family Medicine

NPI 1982661757

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated August 24, 2021

Record deactivated on August 24, 2021

NPI Profile Active February 17, 2013

NPI status registered as active in NPPES database

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Updated Practice Location February 17, 2013

Registered at 1409 BRICKYARD RD, CHIPLEY, FL 324285967 (Tel: 8506388008)

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Updated Business Mailing Address February 17, 2013

Registered at 1409 BRICKYARD RD, CHIPLEY, FL 324285967 (Tel: 8506388008)

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Provider Name / Credentials Updated February 17, 2013

Recorded as SAMUEL MILLER, DDS

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 17, 2013

Dentist (License #DN10690 in FL)

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Initial NPI Registration & Enumeration February 17, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1124368873
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 17, 2013
Last Update: February 17, 2013
Deactivation Date: August 24, 2021

Mailing Address

1409 Brickyard Rd

Chipley, FL 324285967

Phone: 8506388008

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.