Scott Miltenberger DMD, PC

Primary specialty

DentistTaxonomy code 122300000X

License

NM1559 Issued in NM

Legal business name

SCOTT MILTENBERGER DMD, PC

Practice address

3901 Georgia St NE Ste C4
Albuquerque, NM 87110-1389

Phone

(505) 884-9793

Fax

(505) 884-8082

NPI assigned

Feb 2, 2006

Organization subpart

No

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

Authorized official

Name

Laurel Lynn Deanda

Title

Practice Administrator

Phone

(505) 884-9793

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Scott Miltenburger, DMD

  • Dentist
  • Albuquerque, NM
  • NPI 1255439808
  NPD (past)

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

{
    "created_epoch": "1138838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603238400000",
    "number": "1497727747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 GEORGIA ST NE STE C4",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871101389",
            "telephone_number": "505-884-9793",
            "fax_number": "505-884-8082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 GEORGIA ST NE STE C4",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871101389",
            "telephone_number": "505-884-9793",
            "fax_number": "505-884-8082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT MILTENBERGER DMD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-02",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-21",
        "status": "A",
        "authorized_official_last_name": "DEANDA",
        "authorized_official_first_name": "LAUREL",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "505-884-9793"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NM",
            "license": "NM1559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scientific Laboratory Division Nmdoh
• Scoliosis Abq LLC
• Scooter Store - Albuquerque LLC
• Scott Brown MD LLC
• Scott M.Delprete, D.C.
• Scott Walker NP-C
• Andrea Scott, LMT
• Anne Marie Scott, D.D.S.
• Anthony Scott
• Arlianne Reyleen Scott, PT, DPT

• Dentist in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Dentist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2020; 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.