Provider Demographics
NPI:1740374420
Name:MILTON, JEFFREY T (DDS)
Entity type:Individual
Prefix:
First Name:JEFFREY
Middle Name:T
Last Name:MILTON
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 1:525 LIBERTY RD. N
Mailing Address - Street 2:
Mailing Address - City:POWELL
Mailing Address - State:OH
Mailing Address - Zip Code:43065
Mailing Address - Country:US
Mailing Address - Phone:614-226-2697
Mailing Address - Fax:614-722-5671
Practice Address - Street 1:525 LIBERTY RD. N
Practice Address - Street 2:
Practice Address - City:POWELL
Practice Address - State:OH
Practice Address - Zip Code:43065
Practice Address - Country:US
Practice Address - Phone:614-433-7474
Practice Address - Fax:614-433-9090
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2022-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH300218741223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0554145Medicare ID - Type UnspecifiedOHIO MEDICAID