Matthew L Milner, D.M.D.

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

PROS-444-11 Issued in MS

Practice address

4500 I 55 N Ste 266
Jackson, MS 39211-5932

Phone

(601) 932-8920

NPI assigned

Jul 13, 2007

Last updated

Dec 14, 2021By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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.

• Mississippi Prosthetic Dentistry, PLLC

  • Dental Clinic/Center
  • Jackson, MS
  • NPI 1871168567
  Authorized official Same address or phone
• University Physicians, PLLC

  • Internal Medicine Physician
  • Jackson, MS
  • NPI 1609984574
  NPD (past)

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

{
    "created_epoch": "1184284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639440000000",
    "number": "1750580254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 I 55 N STE 266",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392115932",
            "telephone_number": "601-932-8920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 I 55 N STE 266",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392115932",
            "telephone_number": "601-932-8920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILNER",
        "first_name": "MATTHEW",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-13",
        "last_updated": "2021-12-14",
        "certification_date": "2021-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MS",
            "license": "3446-08",
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "MS",
            "license": "PROS-444-11",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rennie Mills, PHYSICIAN ASSISTANT
• Thomas P. Mills, M.D.
• Jacob Daniel Millwood, CRNA
• Carter Payne Milner, M.D.
• Garland Kline Milner, MD
• Andrea Nicole Milton
• Latricia Eubanks Mimbs, LPTA
• Tiffany Nicole Mims, RRT
• Mindful Solutions, LLC
• Billy E. Mink Jr., M.D.

• Prosthodontics in Jackson, MS
• Providers in Jackson, MS by specialty
• Prosthodontics in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2021; 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.