Provider Demographics
NPI:1811055395
Name:MILONAS, DEMETRIOS P (DDS)
Entity type:Individual
Prefix:DR
First Name:DEMETRIOS
Middle Name:P
Last Name:MILONAS
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:JIM
Other - Middle Name:
Other - Last Name:MILONAS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2865 LYNNHAVEN DR
Mailing Address - Street 2:SUITE C-4
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23451-1542
Mailing Address - Country:US
Mailing Address - Phone:757-481-3000
Mailing Address - Fax:757-481-3551
Practice Address - Street 1:2865 LYNNHAVEN DR
Practice Address - Street 2:SUITE C-4
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23451-1542
Practice Address - Country:US
Practice Address - Phone:757-481-3000
Practice Address - Fax:757-481-3551
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist