| Dr. Millgard | |
|
270 E Main St Dayton WA 99328-1353 | |
| (509) 526-9742 | |
| Not Available |
| Full Name | Dr. Millgard |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 270 E Main St, Dayton, Washington |
| Authorized Official Name and Position | Theodore Roger Millgard (DENTIST) |
| Authorized Official Contact | 5095269742 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Millgard 270 E Main St Dayton WA 99328-1353 Ph: (509) 526-9742 | Dr. Millgard 270 E Main St Dayton WA 99328-1353 Ph: (509) 526-9742 |
| NPI Number | 1255666467 |
|---|---|
| Provider Enumeration Date | 10/05/2009 |
| Last Update Date | 10/05/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255666467 | NPI | - | NPPES |
| H5723 | Other | OR | OREGON BOARD OF DENTISTRY |
| DH 00005586 | Other | WA | WASHINGTON STATE HEALTH DEPARTMENT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DH 00005586 (Washington) | Primary |
| 261QD0000X | Clinic/center - Dental | H5723 (Oregon) | Secondary |
Dayton Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1002 S 3rd St, Suite 1, Dayton, WA 99328 Phone: 509-382-2589 Fax: 509-382-2072 |