Mill City Dental PA

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

MILL CITY DENTAL PA

Practice address

2218 Laurel Ave
Minneapolis, MN 55405

Phone

(612) 377-3740

Fax

(612) 377-5004

NPI assigned

Oct 31, 2022

Organization subpart

No

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

Authorized official

Name

Jay C Williams, DDSNPI 1396720884

Title

Dentist, Owner

Phone

(612) 377-3740

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.

• Jay Christopher Williams, DDS

  • General Practice Dentistry
  • Minneapolis, MN
  • NPI 1396720884
  NPD (past) Authorized official

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

{
    "created_epoch": "1667174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667174400000",
    "number": "1982311916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2218 LAUREL AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "55405",
            "telephone_number": "612-377-3740",
            "fax_number": "612-377-5004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2218 LAUREL AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "55405",
            "telephone_number": "612-377-3740",
            "fax_number": "612-377-5004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILL CITY DENTAL PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-31",
        "last_updated": "2022-10-31",
        "certification_date": "2022-10-31",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "DENTIST, OWNER",
        "authorized_official_telephone_number": "612-377-3740",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wilda Milhomme, APRN
• Kellie Jo Milich, PHARM D
• Maria Donata Milillo, PH.D
• Kristina Lynn Milinkovich, MPA
• Briane Mility
• Mill City Dermatology, P.a.
• Wesley Michael Milla, APRN, CRNA
• Michelle Millam
• Michael Millar, PHARM. D.
• Samantha Millbrook

• Dentist in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Dentist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2022; 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.