Organization
MATTHEW S. MILLINER, DMD, PLLC
Active
Other names
Mayfield Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW SCOTT MILLINER DMD, MS (OWNER, ORTHODONTIST)
(270) 247-0751
Entity
Organization
Contact information
Practice address
822 PARIS RD, MAYFIELD, KY 42066-2743
(270) 247-0751
(270) 247-0757
Mailing address
822 PARIS RD, MAYFIELD, KY 42066-2743
(270) 247-0751
(270) 247-0757
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
9123
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100224360
—
KY
Enumeration date
02/01/2013
Last updated
02/01/2013
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