New Millennium Dentalcare Inc

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

Legal business name

NEW MILLENNIUM DENTALCARE INC

Practice address

1805 N 6TH Ave
Room 12
Pensacola, FL 32503-4518

Phone

(732) 286-0336

Fax

(732) 286-0454

NPI assigned

Sep 7, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Paul John Gillich Jr.

Title

Ceo/Dental Director

Phone

(732) 286-0336

Specialties & licenses 1

Addresses

Other names 1

• Nationwide Dental Plan Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1283817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288051200000",
    "number": "1033426473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11155",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325241155",
            "telephone_number": "732-286-0336",
            "fax_number": "732-286-0454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 N 6TH AVE",
            "address_2": "ROOM 12",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325034518",
            "telephone_number": "732-286-0336",
            "fax_number": "732-286-0454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW MILLENNIUM DENTALCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-07",
        "last_updated": "2010-10-26",
        "status": "A",
        "authorized_official_last_name": "GILLICH",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "CEO/DENTAL DIRECTOR",
        "authorized_official_telephone_number": "732-286-0336",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nationwide Dental Plan",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Exclusive Provider Organization in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Exclusive Provider Organization in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.