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

Katelynn Nicole Miller

Individual provider Dentist · NPI 1093367559

Katelynn Nicole Miller is a Dentist in San Diego, California. Licensed in Pennsylvania and South Carolina. Registered with an NPI since 2019.

Licensed in
PA, SC
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

34800 Bob Wilson Dr
San Diego, CA 92134-1098
Phone: (610) 334-7797
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DS042332 (PA)
General Practice Dentistry Taxonomy 1223G0001X · Licence DGD.10195 (SC)

Record details

NPI number1093367559
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 15, 2019
Last updated in NPPESJune 22, 2026
Certification dateJune 22, 2026

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