Provider Demographics
NPI:1942607478
Name:TOMLINSON, MILTON (DMD)
Entity Type:Individual
Prefix:
First Name:MILTON
Middle Name:
Last Name:TOMLINSON
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 1:7548 W COMMERCIAL BLVD
Mailing Address - Street 2:
Mailing Address - City:LAUDERHILL
Mailing Address - State:FL
Mailing Address - Zip Code:33319-2132
Mailing Address - Country:US
Mailing Address - Phone:954-747-8649
Mailing Address - Fax:954-747-6102
Practice Address - Street 1:7548 W COMMERCIAL BLVD
Practice Address - Street 2:
Practice Address - City:LAUDERHILL
Practice Address - State:FL
Practice Address - Zip Code:33319-2132
Practice Address - Country:US
Practice Address - Phone:954-747-8649
Practice Address - Fax:954-747-6102
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-26
Last Update Date:2014-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN12114122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist