Justin Gervais Milo, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

17144 Issued in MD

Practice address

15200 Shady Grove Rd Ste 450
Rockville, MD 20850-6204

Phone

(301) 330-3222

NPI assigned

Jun 5, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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 and National Provider Directory roles.

• Front Row Pediatric Dentistry, LLC

  • Pediatric Dentistry
  • Ellicott City, MD
  • NPI 1619647443
  NPD (past)
• Kids Teeth

  • Preferred Provider Organization
  • Rockville, MD
  • NPI 1134381270
  NPD (past)

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

{
    "created_epoch": "1591315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710288000000",
    "number": "1689298606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15200 SHADY GROVE RD STE 450",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208506204",
            "telephone_number": "301-330-3222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15200 SHADY GROVE RD STE 450",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208506204",
            "telephone_number": "301-330-3222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5084 Dorsey Hall Dr Ste 205",
            "address_purpose": "LOCATION",
            "city": "Ellicott City",
            "state": "MD",
            "postal_code": "210427893",
            "country_code": "US",
            "telephone_number": "443-391-9191",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILO",
        "first_name": "JUSTIN",
        "middle_name": "GERVAIS",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-06-05",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "EXEMPT1",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MD",
            "license": "17144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maureen Mills, RN
• Melissa Erin Mills, ACSM-CEP
• Shakima Mills
• Ayanna Milner-Purnell
• Joshua Milo
• Joanne Kahn Milobsky, LCSW-C
• Madelyn Milstead
• Aschley Milty
• Mimi N. Nguyen, D.D.S., P.a.
• Shayanna Mimms

• Pediatric Dentistry in Rockville, MD
• Providers in Rockville, MD by specialty
• Pediatric Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2024; 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.