Provider Demographics
NPI:1518145853
Name:GASKILL, MILTON JAMES JR (DDS)
Entity Type:Individual
Prefix:DR
First Name:MILTON
Middle Name:JAMES
Last Name:GASKILL
Suffix:JR
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 1:55 MORGAN ST
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:NC
Mailing Address - Zip Code:28752-4935
Mailing Address - Country:US
Mailing Address - Phone:828-652-6967
Mailing Address - Fax:828-652-6525
Practice Address - Street 1:55 MORGAN ST
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:NC
Practice Address - Zip Code:28752-4935
Practice Address - Country:US
Practice Address - Phone:828-652-6967
Practice Address - Fax:828-652-6525
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-08
Last Update Date:2013-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC4435122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8993108Medicaid