Milestone Dental of Waxahachie, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MILESTONE DENTAL OF WAXAHACHIE, PLLC

Practice address

1437 North Highway 77
Suite 10
Waxahachie, TX 75165

Phone

(817) 635-6453

NPI assigned

Aug 14, 2012

Organization subpart

No

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

Authorized official

Name

Russell Forontanrad

Title

Operations Manager

Phone

(469) 500-0270

Specialties & licenses 1

Addresses

Other names 1

• Milestone Dental Doing business as

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

{
    "created_epoch": "1344902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344902400000",
    "number": "1336496827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1437 NORTH HIGHWAY 77",
            "address_2": "SUITE 10",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "75165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1437 NORTH HIGHWAY 77",
            "address_2": "SUITE 10",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "75165",
            "telephone_number": "817-635-6453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILESTONE DENTAL OF WAXAHACHIE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-14",
        "last_updated": "2012-08-14",
        "status": "A",
        "authorized_official_last_name": "FORONTANRAD",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "469-500-0270"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Milestone Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Metx, LLC
• Michael A. Meyerson, M.D.
• Bayyinah Michel-Quintanilla, PA-C
• Barbara Jean Miglicco Miller, APRN BC
• Brandee Miles, RN FNP
• Kayla K Miller, MS, SLP-CCC
• Melanie Miller, MSN, APRN, FNP-C
• Melinda Beth Miller, CRNA
• Eidi K Millington, MD
• Mind Above Matter LLC

• General Practice Dentistry in Waxahachie, TX
• Providers in Waxahachie, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2012; 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.