Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1477559474 Deactivated / Inactive NPI Male Practitioner

Dr. Scott Randolph Miller , DDS

Dentist - General Practice • Bristol, VA

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

Registration / Start Date June 23, 2005
NPI Deactivation Date March 21, 2006
Total Practice Duration ~1 Years of Practice (2005 – 2006)

Professional Overview & Biography Verified Profile Summary

Dr. Scott Miller, DDS was a registered Dentist - General Practice practicing in Bristol, VA. Throughout an active medical career spanning 1 years, Dr. Miller provided care at the practice location at 15325 LEE HWY until profile deactivation on 2006-03-21.

Practice Location & Contact Primary Location

Practice Address

15325 Lee Hwy

Bristol, VA 242024013

Telephone 2764669800
Fax 2765915959
Associated Practice Facility / Clinic
🏢 Scott R Miller Dds Pc Facility NPI 1932654092

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Bristol, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.6 Yrs
Regional Practice Density
9 Specialists

Practicing in Bristol, VA (3535 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 VA 0401008559

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

4 Associated Practitioners
Kara Davis , CD, A, RDH

Dental Hygienist

NPI 1326393455

CD, A, Registered Dental Hygienist

Dr. Brittney Ellis , DDS

Dentist - General Practice

NPI 1588942221

Doctor of Dental Surgery

Christopher Davenport

Dentist - General Practice

NPI 1598102030
NPI 1861177750

Doctor of Dental Surgery

Career & Practice History Timeline

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

7 Historical Events
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Updated Practice Location July 08, 2007

Registered at 15325 LEE HWY, BRISTOL, VA 242024013 (Tel: 2764669800)

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Updated Business Mailing Address July 08, 2007

Registered at 15325 LEE HWY, BRISTOL, VA 242024013 (Tel: 2764669800)

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Provider Name / Credentials Updated July 08, 2007

Recorded as SCOTT MILLER, D.D.S.

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

Dentist (License #0401008559 in VA)

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NPI Profile Reactivated March 29, 2006

Record officially reactivated for active practice on March 29, 2006

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NPI Profile Deactivated March 21, 2006

Record deactivated on March 21, 2006

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Initial NPI Registration & Enumeration June 23, 2005

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: 1477559474
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 23, 2005
Last Update: July 08, 2007
Deactivation Date: March 21, 2006
Sole Proprietor: No

Mailing Address

15325 Lee Hwy

Bristol, VA 242024013

Phone: 2764669800

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.