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Deactivated NPI 1609804475 Deactivated / Inactive NPI Male Practitioner

Dr. Daniel Miollis , DDS

Dentist - General Practice • Longview, WA

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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. Daniel Miollis has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 29, 2006
NPI Deactivation Date March 24, 2023
Total Practice Duration ~17 Years of Practice (2006 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. Daniel Miollis, DDS was a registered Dentist - General Practice practicing in Longview, WA. Throughout an active medical career spanning 17 years, Dr. Miollis provided care at the practice location at 1057 12TH AVE until profile deactivation on 2023-03-24.

Practice Location & Contact Primary Location

Practice Address

1057 12th Ave

Longview, WA 986322509

Telephone 3606363892
Fax 3604141114
Associated Practice Facility / Clinic
🏢 Cowlitz Family Health Center Facility NPI 1891724506

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Longview, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.3 Yrs
Regional Practice Density
28 Specialists

Practicing in Longview, WA (3345 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 WA DE00003884

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

26 Associated Practitioners
Dian Cooper

Counselor - Mental Health

NPI 1033300777
Sara Derenge , ARNP

Nurse Practitioner - Women's Health

NPI 1053326934

Advanced Registered Nurse Practitioner

Diana Shields , ARNP

Nurse Practitioner - Family

NPI 1154210813

Advanced Registered Nurse Practitioner

Stephanie Cox , RN

Registered Nurse

NPI 1184112989

Registered Nurse

Tina Pond , RN

Registered Nurse

NPI 1235623844

Registered Nurse

Dr. Gail Conway , DO

Family Medicine

NPI 1386669711

Doctor of Osteopathic Medicine (D.O.)

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 24, 2023

Record deactivated on March 24, 2023

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 1057 12TH AVE, LONGVIEW, WA 986322509 (Tel: 3606363892)

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Updated Business Mailing Address July 08, 2007

Registered at 1057 12TH AVE, LONGVIEW, WA 986322509 (Tel: 3606363892)

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Provider Name / Credentials Updated July 08, 2007

Recorded as DANIEL MIOLLIS, DDS

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

Dentist (License #DE00003884 in WA)

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Initial NPI Registration & Enumeration June 29, 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: 1609804475
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 29, 2006
Last Update: July 08, 2007
Deactivation Date: March 24, 2023

Mailing Address

1057 12th Ave

Longview, WA 986322509

Phone: 3606363892

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.