# MILLIKAN DENTISTRY PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Millikan Smiles
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811405335
- **Authorized official:** MR. DANIEL J. MILLIKAN DDS (OWNER/DENTIST)
- **Authorized official phone:** (812) 339-1671

## Contact information

- **Practice address:** 1121 W 2ND ST, BLOOMINGTON, IN 47403-2160
- **Practice address phone:** (812) 339-1671
- **Practice address fax:** (812) 337-1231
- **Mailing address:** 1121 W 2ND ST, BLOOMINGTON, IN 47403-2160
- **Mailing address phone:** (812) 339-1671
- **Mailing address fax:** (812) 337-1231

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 12016033 | IN | Yes |

## Other

- **Enumeration date:** 01/18/2018
- **Last updated:** 01/18/2018