Provider Demographics
NPI:1861668311
Name:MILO, SCOTT GEORGE (DMD)
Entity Type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:GEORGE
Last Name:MILO
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2405 NORTH COURTENAY PARKWAY
Mailing Address - Street 2:SUITE 105
Mailing Address - City:MERRITT ISLAND
Mailing Address - State:FL
Mailing Address - Zip Code:32953-4050
Mailing Address - Country:US
Mailing Address - Phone:321-453-2450
Mailing Address - Fax:321-453-1278
Practice Address - Street 1:2405 NORTH COURTENAY PARKWAY
Practice Address - Street 2:SUITE 105
Practice Address - City:MERRITT ISLAND
Practice Address - State:FL
Practice Address - Zip Code:32953-4050
Practice Address - Country:US
Practice Address - Phone:321-453-2450
Practice Address - Fax:321-453-1278
Is Sole Proprietor?:No
Enumeration Date:2008-05-05
Last Update Date:2008-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL111271223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry