Milestone Family Dentistry, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5105 Issued in AL

Legal business name

MILESTONE FAMILY DENTISTRY, PC

Practice address

2200 US Highway 98
Suite 8
Daphne, AL 36526-4395

Phone

(251) 626-0092

Fax

(251) 626-0092

NPI assigned

Jan 20, 2016

Last updated

Jan 20, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Miriam Perdomo-Watts, DMD

Title

Owner/Dentist

Phone

(251) 626-0092

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, and the practitioner matching its NPPES authorized official.

• Miriam Perdomo, DMD

  • General Practice Dentistry
  • Daphne, AL
  • NPI 1881750446
  NPD (past)

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

{
    "created_epoch": "1453248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453248000000",
    "number": "1871950923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 US HIGHWAY 98",
            "address_2": "SUITE 8",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365264395",
            "telephone_number": "251-626-0092",
            "fax_number": "251-626-0092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 US HIGHWAY 98",
            "address_2": "SUITE 8",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365264395",
            "telephone_number": "251-626-0092",
            "fax_number": "251-626-0092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILESTONE FAMILY DENTISTRY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-20",
        "last_updated": "2016-01-20",
        "status": "A",
        "authorized_official_last_name": "PERDOMO-WATTS",
        "authorized_official_first_name": "MIRIAM",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "251-626-0092",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "5105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Daphne, AL
• Providers in Daphne, AL by specialty
• General Practice Dentistry in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2016; 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.