Mcmillin, Theodore Scott

Mcmillin, Theodore Scott is an individual health care provider with primary practice located at 1754 Commerce Center Blvd , Fairborn OH 45324-6358. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Mcmillin, Theodore Scott can be contacted via phone (937) 878-1451.

Contact Information

Primary practice address
1754 Commerce Center Blvd Fairborn OH 45324-6358
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 018597 Ohio

Profile Details

NPI number 1023077344
LBN Legal business name Mcmillin, Theodore Scott
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023077344 NPPES
Ohio Other 102680 SUPERIOR DENTAL
Ohio Other 588775 SUPERIOR DENTAL

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