Mills Park Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN16580 Issued in FL

Legal business name

MILLS PARK DENTAL

Practice address

1327 N Mills Ave
Orlando, FL 32803-2542

Phone

(407) 228-1353

Fax

(407) 228-1394

NPI assigned

Oct 22, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Anne Murugasu-Reid, DDSNPI 1679675789

Title

Dentist

Phone

(407) 228-1353

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Anne Murugasu-Reid, DDS

  • General Practice Dentistry
  • Orlando, FL
  • NPI 1679675789
  NPD (past) Authorized official
• Erick Yglesias Ruiz, DDS

  • General Practice Dentistry
  • Belleair Bluffs, FL
  • NPI 1427534239
  NPD (past)

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

{
    "created_epoch": "1413936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413936000000",
    "number": "1356745178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1327 N MILLS AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328032542",
            "telephone_number": "407-228-1353",
            "fax_number": "407-228-1394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1327 N MILLS AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328032542",
            "telephone_number": "407-228-1353",
            "fax_number": "407-228-1394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLS PARK DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-22",
        "last_updated": "2014-10-22",
        "status": "A",
        "authorized_official_last_name": "MURUGASU-REID",
        "authorized_official_first_name": "ANNE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "407-228-1353",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN16580",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003927200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jamila Millette, LMHC
• Regine Millien-Polk, RN
• Abigail Kathryn Millikin
• Steven Milling
• Mills Ave Anesthesia LLC
• Catherine A Mills, COTA/L
• Clarence Mills
• Clyatt Aaron Mills
• Cynthia Marie Mills, PA
• Danielle Mills

• General Practice Dentistry in Orlando, FL
• Providers in Orlando, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2014; 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.