Miles Lee Renick, DMD

General Practice Dentistry · Fort Eustis, VA

Individual Active NPI

NPI number 1780060772

Practice location

669 Monroe Ave
Fort Eustis, VA 23604-5005
Phone
(239) 314-8016

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NPI record

NPI
1780060772
Entity type
Individual (Type 1)
Enumeration date
August 3, 2015
Last updated
July 10, 2023
Certified
July 10, 2023
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 9654 KY
Dentist 122300000X 9654 KY

Mailing address

Us Army Dental Health Activity Bavaria
CMR 411 Unit 28038
Apo, AE 09112

Other practice locations (2)

  • 4323 Hill St, Columbia, SC 29207-6022 · (803) 751-6209
  • US Army Dental Health Activity Bavaria, CMR 411 Unit 28038, Apo, AE 09112 · (314) 590-3980

About Dr. Renick

Miles Lee Renick, DMD is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 669 Monroe Ave, Fort Eustis, VA 23604-5005. The NPI number 1780060772 was assigned on August 3, 2015 and the record was last updated on July 10, 2023.

Dr. Renick lists 2 licenses in the registry: #9654 (KY) for General Practice Dentistry; #9654 (KY) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Miles Lee Renick, DMD?

The NPI number is 1780060772.

What is the phone number of Dr. Renick?

The phone number listed for the practice location is (239) 314-8016.

Where is Dr. Renick located?

669 Monroe Ave, Fort Eustis, VA 23604-5005.

What is the taxonomy code for Dr. Renick?

The primary taxonomy code is 1223G0001X – General Practice Dentistry; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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