Provider Demographics
NPI:1366575995
Name:MILTON, WILLIAM F III (DDS)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:F
Last Name:MILTON
Suffix:III
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 1:5505 5TH ST NW
Mailing Address - Street 2:102
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20011-6513
Mailing Address - Country:US
Mailing Address - Phone:202-722-5355
Mailing Address - Fax:
Practice Address - Street 1:5505 5TH ST NW
Practice Address - Street 2:102
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20011-6513
Practice Address - Country:US
Practice Address - Phone:202-722-5355
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-13
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC1000222122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC016896100Medicaid