Provider Demographics
NPI:1639293467
Name:DYE, MILTON EDWARD (DDS)
Entity Type:Individual
Prefix:DR
First Name:MILTON
Middle Name:EDWARD
Last Name:DYE
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 1:7601 OLD HIGHWAY 73
Mailing Address - Street 2:
Mailing Address - City:TOWNSEND
Mailing Address - State:TN
Mailing Address - Zip Code:37882-3903
Mailing Address - Country:US
Mailing Address - Phone:865-448-9439
Mailing Address - Fax:
Practice Address - Street 1:7601 OLD HIGHWAY 73
Practice Address - Street 2:
Practice Address - City:TOWNSEND
Practice Address - State:TN
Practice Address - Zip Code:37882-3903
Practice Address - Country:US
Practice Address - Phone:865-448-9439
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDS00000024701223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN0069671OtherBCBS TN