Provider Demographics
NPI:1003975640
Name:MILIUS, TOM J (DDS)
Entity Type:Individual
Prefix:DR
First Name:TOM
Middle Name:J
Last Name:MILIUS
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1140 N 83RD ST
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68505-2080
Mailing Address - Country:US
Mailing Address - Phone:402-483-4322
Mailing Address - Fax:402-483-0439
Practice Address - Street 1:1140 N 83RD ST
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68505-2080
Practice Address - Country:US
Practice Address - Phone:402-483-4322
Practice Address - Fax:402-483-0439
Is Sole Proprietor?:No
Enumeration Date:2006-12-08
Last Update Date:2024-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE65141223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry