Deborah P. Milliken, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN10469 Issued in FL

Practice address

600 W College Dr
BLDG T-1
Avon Park, FL 33825-9356

Phone

(863) 784-7023

Fax

(863) 784-7026

NPI assigned

Mar 26, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1364256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364256000000",
    "number": "1992047161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 W COLLEGE DR",
            "address_2": "BLDG T-1",
            "city": "AVON PARK",
            "state": "FL",
            "postal_code": "338259356",
            "telephone_number": "863-784-7023",
            "fax_number": "863-784-7026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 W COLLEGE DR",
            "address_2": "BLDG T-1",
            "city": "AVON PARK",
            "state": "FL",
            "postal_code": "338259356",
            "telephone_number": "863-784-7023",
            "fax_number": "863-784-7026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLIKEN",
        "first_name": "DEBORAH",
        "middle_name": "P.",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-26",
        "last_updated": "2013-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN10469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane Mera Dominguez
• Evans Salomon Mercier, M.D
• Luciana Michel, MD
• Millennium Physician Group, LLC
• Makinnsy Miller
• Mindbodysol Nutrition LLC
• Mobile Medical Services L.L.C.
• Mobile Phlebotomy Excellence
• Michelle Sarah Modaff, D.D.S.
• Rasheeda N Moorer, LPC

• All providers in Avon Park, FL
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.