Individual
DR. MATTHEW L MILNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
4500 I 55 N STE 266, JACKSON, MS 39211-5932
(601) 932-8920
Mailing address
4500 I 55 N STE 266, JACKSON, MS 39211-5932
(601) 932-8920
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
3446-08
MS
1223P0700X
Prosthodontics
Primary
PROS-444-11
MS
Other
Enumeration date
07/13/2007
Last updated
12/14/2021
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