Theodore R Millgard, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3392 Issued in WA

Practice address

270 E Main St
Dayton, WA 99328-1353

Phone

(509) 540-9756

NPI assigned

Oct 4, 2006

Last updated

Mar 16, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dr. Millgard

  • Dental Clinic/Center
  • Dayton, WA
  • NPI 1255666467
  NPD (past) Authorized official

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237161600000",
    "number": "1417042144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 223",
            "city": "DAYTON",
            "state": "WA",
            "postal_code": "993280223",
            "telephone_number": "509-540-9756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 E MAIN ST",
            "city": "DAYTON",
            "state": "WA",
            "postal_code": "993281353",
            "telephone_number": "509-540-9756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLGARD",
        "first_name": "THEODORE",
        "middle_name": "R",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2009-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "3392",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5182506",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Luce, M.D.
• Cristina Lugo, MHCA
• Ginger M Mastor, MSW
• Michael Strang, DDS (Dayton Dental Care)
• Lindsay A Michaelson, ARNP
• Lois Charlene Mills, LMT , MMP
• Danny L Mingus, PA-C
• Motion Forward Counseling LLC
• Gwynneth G. Neace, D.O.
• Lewis D Neace, D.O.

• General Practice Dentistry in Dayton, WA
• Providers in Dayton, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2009; 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.