Provider Demographics
NPI:1780752394
Name:MILNER, WILLIAM EDWIN JR (DDS MPH)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:EDWIN
Last Name:MILNER
Suffix:JR
Gender:M
Credentials:DDS MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:125 S PARK ST
Mailing Address - Street 2:
Mailing Address - City:ASHEBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27203-5624
Mailing Address - Country:US
Mailing Address - Phone:336-626-7232
Mailing Address - Fax:336-625-5724
Practice Address - Street 1:125 S PARK ST
Practice Address - Street 2:
Practice Address - City:ASHEBORO
Practice Address - State:NC
Practice Address - Zip Code:27203-5624
Practice Address - Country:US
Practice Address - Phone:336-626-7232
Practice Address - Fax:336-625-5724
Is Sole Proprietor?:No
Enumeration Date:2006-12-01
Last Update Date:2009-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC40961223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8995977Medicaid
U38670Medicare UPIN