Provider Demographics
NPI:1285744755
Name:MILLER, LYTHA K (DDS)
Entity type:Individual
Prefix:DR
First Name:LYTHA
Middle Name:K
Last Name:MILLER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2302 WILSHIRE DR
Mailing Address - Street 2:
Mailing Address - City:PIQUA
Mailing Address - State:OH
Mailing Address - Zip Code:45356-5436
Mailing Address - Country:US
Mailing Address - Phone:937-773-8090
Mailing Address - Fax:937-773-8253
Practice Address - Street 1:203 E LAKE AVE
Practice Address - Street 2:
Practice Address - City:NEW CARLISLE
Practice Address - State:OH
Practice Address - Zip Code:45344-1420
Practice Address - Country:US
Practice Address - Phone:937-580-8558
Practice Address - Fax:937-773-8253
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-30
Last Update Date:2023-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30-01-85311223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice