Provider Demographics
NPI:1346325537
Name:MILNE, MICHAEL GREGORY (DDS)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:GREGORY
Last Name:MILNE
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:185 HIGHLAND AVE
Mailing Address - Street 2:
Mailing Address - City:WHITE RIVER JET
Mailing Address - State:VT
Mailing Address - Zip Code:05001-8023
Mailing Address - Country:US
Mailing Address - Phone:802-295-5252
Mailing Address - Fax:802-295-2652
Practice Address - Street 1:185 HIGHLAND AVE
Practice Address - Street 2:
Practice Address - City:WHITE RIVER JET
Practice Address - State:VT
Practice Address - Zip Code:05001-8023
Practice Address - Country:US
Practice Address - Phone:802-295-5252
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT4931223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice