Provider Demographics
NPI:1922216217
Name:DRS. MILBERT & BICKNELL, DDS, PLLC
Entity Type:Organization
Organization Name:DRS. MILBERT & BICKNELL, DDS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:
Authorized Official - Last Name:BICKNELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:320-685-8891
Mailing Address - Street 1:311 1ST ST N
Mailing Address - Street 2:
Mailing Address - City:COLD SPRING
Mailing Address - State:MN
Mailing Address - Zip Code:56320-1611
Mailing Address - Country:US
Mailing Address - Phone:320-685-8891
Mailing Address - Fax:320-685-5321
Practice Address - Street 1:311 1ST ST N
Practice Address - Street 2:
Practice Address - City:COLD SPRING
Practice Address - State:MN
Practice Address - Zip Code:56320-1611
Practice Address - Country:US
Practice Address - Phone:320-685-8891
Practice Address - Fax:320-685-5321
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MND111381223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty