Provider Demographics
NPI:1568973725
Name:MILAN BHAGAT, DMD, PLLC
Entity Type:Organization
Organization Name:MILAN BHAGAT, DMD, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:MILAN
Authorized Official - Middle Name:
Authorized Official - Last Name:BHAGAT
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:734-674-5140
Mailing Address - Street 1:16700 JENNINGS RUN DR
Mailing Address - Street 2:
Mailing Address - City:MOSELEY
Mailing Address - State:VA
Mailing Address - Zip Code:23120-1567
Mailing Address - Country:US
Mailing Address - Phone:734-674-5140
Mailing Address - Fax:
Practice Address - Street 1:3277 S CRATER RD STE B
Practice Address - Street 2:
Practice Address - City:PETERSBURG
Practice Address - State:VA
Practice Address - Zip Code:23805-9285
Practice Address - Country:US
Practice Address - Phone:804-732-5776
Practice Address - Fax:804-732-5782
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CENTRAL VIRGINIA DENTAL CARE PLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-10-16
Last Update Date:2017-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty