Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Edward Ray Miller Jr., DMD

Individual provider Dentist · NPI 1700809563

Dr. Edward Ray Miller Jr., DMD is a Dentist in Saint Louis, Missouri. Practices as a sole proprietor. Licensed in Illinois and Missouri.

Licensed in
IL, MO
In the registry since
2006
Specialties on file
2
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

4121 Elm Park Dr
Saint Louis, MO 63128
Phone: (314) 845-2730
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 2018014802 (MO)
Dentist Taxonomy 122300000X · Licence 19-026162 (IL)

Record details

NPI number1700809563
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedJuly 25, 2006
Last updated in NPPESJuly 18, 2018

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