Milot Pediatric Dentistry, LLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

9409 Issued in CO

Legal business name

MILOT PEDIATRIC DENTISTRY, LLC

Practice address

2055 Ken Pratt Blvd
Unit B
Longmont, CO 80501-6554

Phone

(503) 719-3700

NPI assigned

May 18, 2016

Last updated

Nov 8, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jennifer Milot, DDS

Title

Owner/Dentist

Phone

(503) 719-3700

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1463529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478563200000",
    "number": "1053768184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2851 SHADOW LAKE RD",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800268970",
            "telephone_number": "503-719-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2055 KEN PRATT BLVD",
            "address_2": "UNIT B",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805016554",
            "telephone_number": "503-719-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILOT PEDIATRIC DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-18",
        "last_updated": "2016-11-08",
        "status": "A",
        "authorized_official_last_name": "MILOT",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "503-719-3700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CO",
            "license": "9409",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "53451767",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laurel Mackey Miller, DIPL. AC.
• Rebecca Yvonne Miller, PA-C
• Jay Clinton Mills, DDS
• Mary Ruth Mills, LMFT,LPC,CACIII
• Holly Milne, MA, LPCC
• Milroy Endodontics (Endodontic Specialists of Northern Colorado)
• Christopher I Minch
• Mind the Center LLC
• Mindfully, LLC (Compass Point Counseling Services)
• Kara Maggie Erica Minear

• Pediatric Dentistry in Longmont, CO
• Providers in Longmont, CO by specialty
• Pediatric Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2016; 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.