# GARY D MILTON DDS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073689774
- **Authorized official:** GARY DENNIS MILTON DDS PC (DENTIST PRESIDENT)
- **Authorized official phone:** (928) 774-0131

## Contact information

- **Practice address:** 710 N BEAVER ST, BLDG 2 1, FLAGSTAFF, AZ 86001-3144
- **Practice address phone:** (928) 774-0131
- **Practice address fax:** (928) 226-0560
- **Mailing address:** 710 N BEAVER ST, BLDG 2 1, FLAGSTAFF, AZ 86001-3144
- **Mailing address phone:** (928) 774-0131
- **Mailing address fax:** (928) 226-0560

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 3861 | AZ | Yes |

## Other

- **Enumeration date:** 11/27/2006
- **Last updated:** 08/22/2020
