Individual
DR. KEVIN A MILTKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1550 SOUTH AVENUE WEST, MISSOULA, MT 59801
(406) 721-1550
Mailing address
1550 SOUTH AVENUE WEST, MISSOULA, MT 59801
(406) 721-1550
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
1939
MT
1223G0001X
General Practice Dentistry
Primary
1939
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0115778
—
MT
Enumeration date
10/19/2006
Last updated
12/09/2025
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