Organization
DAVID G. MCMILLAN, DDS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID GLEN MCMILLAN DDS (PRESIDENT)
(801) 546-9400
Entity
Organization
Contact information
Practice address
70 W GORDON AVE, LAYTON, UT 84041-2569
(801) 546-9400
(801) 546-9431
Mailing address
79 E 2225 S, CLEARFIELD, UT 84015-2122
(801) 547-1232
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
5709259
UT
Other
Enumeration date
08/05/2006
Last updated
08/22/2020
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