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Deactivated NPI 1457425878 Deactivated / Inactive NPI Male Practitioner

Dr. Larry H Miller , DDS

Dentist - General Practice • Marietta, GA

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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. Larry Miller has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 17, 2006
NPI Deactivation Date March 11, 2019
Total Practice Duration ~13 Years of Practice (2006 – 2019)

Professional Overview & Biography Verified Profile Summary

Dr. Larry Miller, DDS was a registered Dentist - General Practice practicing in Marietta, GA. Throughout an active medical career spanning 13 years, Dr. Miller provided care at the practice location at 845 SHAW PARK RD until profile deactivation on 2019-03-11.

Practice Location & Contact Primary Location

Practice Address

845 Shaw Park Rd
Suite B

Marietta, GA 300663847

Telephone 7704280805
Fax 7704289392

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Marietta, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.0 Yrs
State Avg: 22.8 Yrs
Regional Practice Density
162 Specialists

Practicing in Marietta, GA (3302 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 GA 10152

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. Kumar Patel , DMD, MS

Dentist - Prosthodontics

NPI 1326175076

Doctor of Dental Medicine, Master of Science

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 March 11, 2019

Record deactivated on March 11, 2019

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 845 SHAW PARK RD, SUITE B, MARIETTA, GA 300663847 (Tel: 7704280805)

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Updated Business Mailing Address July 08, 2007

Registered at 845 SHAW PARK RD, SUITE B, MARIETTA, GA 300663847 (Tel: 7704280805)

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Provider Name / Credentials Updated July 08, 2007

Recorded as LARRY MILLER, DDS

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #10152 in GA)

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Initial NPI Registration & Enumeration November 17, 2006

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: 1457425878
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 17, 2006
Last Update: July 08, 2007
Deactivation Date: March 11, 2019

Mailing Address

845 Shaw Park Rd, Suite B

Marietta, GA 300663847

Phone: 7704280805

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.