Millikan Dentistry PC

Primary specialty

DentistTaxonomy code 122300000X

License

12016033 Issued in IN

Legal business name

MILLIKAN DENTISTRY PC

Doing business as

Millikan Smiles

Practice address

1121 W 2ND St
Bloomington, IN 47403-2160

Phone

(812) 339-1671

Fax

(812) 337-1231

NPI assigned

Jan 18, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Daniel J. Millikan, DDSNPI 1528136207

Title

Owner/Dentist

Phone

(812) 339-1671

Specialties & licenses 1

Addresses

Other names 1

• Millikan Smiles Doing business as

Locations

Practitioners 3

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

• Daniel J Millikan, D.D.S.

  • General Practice Dentistry
  • Bloomington, IN
  • NPI 1528136207
  NPD (past) Authorized official
• Molly Elizabeth Dwenger, DDS

  • Dentist
  • Fishers, IN
  • NPI 1154946051
  NPD (past)
• Kelli Anne Hinds, DDS

  • General Practice Dentistry
  • Bloomington, IN
  • NPI 1790071918
  NPD (past)

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

{
    "created_epoch": "1516233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516233600000",
    "number": "1811405335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 W 2ND ST",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474032160",
            "telephone_number": "812-339-1671",
            "fax_number": "812-337-1231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 W 2ND ST",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474032160",
            "telephone_number": "812-339-1671",
            "fax_number": "812-337-1231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLIKAN DENTISTRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-18",
        "last_updated": "2018-01-18",
        "status": "A",
        "authorized_official_last_name": "MILLIKAN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "812-339-1671",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IN",
            "license": "12016033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Millikan Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Katie Miller, RBT
• Kevin J Miller, MD
• Kolton Bradley Miller, RBT
• Liang Lu Miller
• Nicholas P Miller, MD
• Daniel J Millikan, D.D.S.
• Harvey M Mills, PA-C
• Kristina Mills, BCBA
• Lilia Jane Mills
• Rana Mills

• Dentist in Bloomington, IN
• Providers in Bloomington, IN by specialty
• Dentist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2018; 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.