# MILLARD FD LLC

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

## Provider details

- **NPI number:** 1295556702
- **Authorized official:** AMANDA LIGHTFOOT (AUTHORIZED OFFICIAL)
- **Authorized official phone:** (214) 702-0708

## Contact information

- **Practice address:** 14133 Q ST, OMAHA, NE 68137-2600
- **Practice address phone:** (712) 310-8530
- **Mailing address:** 15660 DALLAS PKWY STE 950, DALLAS, TX 75248-3309

## Taxonomy

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

## Other

- **Enumeration date:** 10/18/2024
- **Last updated:** 01/28/2026