Individual provider · Type 1 NPI

Marisa Lee Milligan

Dentist · Bloomington, IL

NPI number 1508240763 Active

Practice location

1404 Eastland Dr Ste 101
Bloomington, IL 61701-7904

Fax (309) 663-1854

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X019030295 (IL)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1508240763

Marisa Lee Milligan's National Provider Identifier is 1508240763, issued on Jul 16, 2015. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Bloomington, IL. The record was last updated on Jul 16, 2015.