Millennium Family Dental

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

MILLENNIUM FAMILY DENTAL

Practice address

314F Pocasset Ave
Providence, RI 02909-4828

Phone

(401) 942-5051

NPI assigned

Jun 9, 2019

Organization subpart

No

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

Authorized official

Name

Gaganpreet S Gill

Title

Owner/Manager

Phone

(617) 331-8640

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1560038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560038400000",
    "number": "1720647274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314F POCASSET AVE",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029094828",
            "telephone_number": "401-942-5051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314F POCASSET AVE",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029094828",
            "telephone_number": "401-942-5051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLENNIUM FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-09",
        "last_updated": "2019-06-09",
        "status": "A",
        "authorized_official_last_name": "GILL",
        "authorized_official_first_name": "GAGANPREET",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "617-331-8640"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Milestone Rehab, L.L.C.
• Peter John Milianta, MD
• Ellen Millea
• Rachel Elizabeth Millen, MS, ATC
• Millenium Dental Inc.
• Alan Miller
• Ann Helen Miller, LICSW
• Benjamin James Miller, MD
• Brian L. Miller, CRNA
• Emily S Miller, MD, MPH

• Dental Clinic/Center in Providence, RI
• Providers in Providence, RI by specialty
• Dental Clinic/Center in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2019; 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.