Individual
DR. JEFFREY B. MCMILLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
9360 W FLAMINGO RD, #110-308, LAS VEGAS, NV 89147-6426
(702) 505-1900
(702) 736-1116
Mailing address
9360 W FLAMINGO RD, #110-308, LAS VEGAS, NV 89147-6426
(702) 505-1900
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
5215
NV
1223G0001X
General Practice Dentistry
DNO13230
GA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
55580
CA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
D6946
AZ
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DD3630
NM
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
OR-509-16
MS
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
S3-227
NV
Other
Enumeration date
02/02/2006
Last updated
06/26/2019
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