Mil-Lake Dental

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

MIL-LAKE DENTAL

Practice address

7657 Lake Worth Rd
Lake Worth, FL 33467-2534

Phone

(561) 357-1009

Fax

(561) 969-7624

NPI assigned

Sep 12, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Robert G. Victome, DDSNPI 1437238516

Title

Owner

Phone

(561) 357-1009

Specialties & licenses 5

Addresses

Other names 1

• MIL-LAKE DENTAL AND EYE CARE Other name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Robert Gary Victome, DDS

  • General Practice Dentistry
  • Greenacres, FL
  • NPI 1437238516
  NPD (past) Authorized official

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

{
    "created_epoch": "1473638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476921600000",
    "number": "1346798063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6137 LAKE WORTH RD",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334633074",
            "telephone_number": "561-357-1009",
            "fax_number": "561-969-7624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7657 LAKE WORTH RD",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334672534",
            "telephone_number": "561-357-1009",
            "fax_number": "561-969-7624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIL-LAKE DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-12",
        "last_updated": "2016-10-20",
        "status": "A",
        "authorized_official_last_name": "VICTOME",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-357-1009",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN13708",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MIL-LAKE DENTAL AND EYE CARE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jean Mozart Michel
• Karl H. Michel, D.P.M
• Elizabeth Mignano, P.A.
• Marianna Migoulia-Nikiforov
• Miguel Ferrer DDS PA
• Pedro Enrique Milanes Amador
• Christian Milanes, DMD
• Melanie Milano, LMHC
• David Milbauer, MD
• Millennium Health Services, Inc

• General Practice Physician in Lake Worth, FL
• Providers in Lake Worth, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 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.