Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1265429724 Individual Practitioner Male Practitioner

Dr. Elzie Irvin Miller , DDS

Dentist - General Practice • Springfield, MO

Professional Overview & Biography Verified Profile Summary

Dr. Elzie Miller, DDS is a registered healthcare professional specializing in Dentist - General Practice in Springfield, MO. Practice services are available at 1655 S ENTERPRISE AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1655 S Enterprise Ave
A-3

Springfield, MO 658041850

Telephone 4178811213
Associated Practice Facility / Clinic
🏢 Kelly Dental Llc Facility NPI 1922435148

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Springfield, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 9.5 Yrs
Regional Practice Density
120 Specialists

Practicing in Springfield, MO (2113 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 MO 12304

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

2 Associated Practitioners
Dr. Michael Kelly , DDS

Dentist - General Practice

NPI 1043659568

Doctor of Dental Surgery

NPI 1649010158

Doctor of Dental Surgery

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 1655 S ENTERPRISE AVE, A-3, SPRINGFIELD, MO 658041850 (Tel: 4178811213)

📍
Updated Business Mailing Address July 08, 2007

Registered at 1655 S ENTERPRISE AVE, A-3, SPRINGFIELD, MO 658041850 (Tel: 4178811213)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as ELZIE MILLER, DDS

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

Dentist (License #12304 in MO)

🟢
Initial NPI Registration & Enumeration September 30, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Elzie Miller. Be the first to share your experience!

Sign in to leave a review for Dr. Elzie Miller

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1265429724
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 30, 2005
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

1655 S Enterprise Ave, A-3

Springfield, MO 658041850

Phone: 4178811213

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.