RODERICK E MCMILLEN DDS A DENTAL CORP
NPI 1215037684
Dentist - General Practice in Fort Bragg, CA

Q: What is Roderick E Mcmillen Dds A Dental Corp's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Active since September 25, 2006

825 SEQUOIA CIRCLE, FORT BRAGG, CA 95347(707) 964-0242(707) 964-0244 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Roderick E Mcmillen Dds A Dental Corp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RODERICK E MCMILLEN DDS A DENTAL CORP (NPI 1215037684) is a healthcare organization registered as a general practice in Fort Bragg, California and active in the NPI registry since September 2006. The organization lists Roderick E Mcmillen, President Of Small Corp, as its authorized official.

NPPES Registry Identity

NPI1215037684

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameRODERICK E MCMILLEN DDS A DENTAL CORP

Location Address825 SEQUOIA CIRCLEFort Bragg, CA 95347

Mailing Address825 Sequoia CircleFort Bragg, CA 95347 · (707) 964-0242 · Fax (707) 964-0244

Phone(707) 964-0242

Fax(707) 964-0244

Organization SubpartNo

Authorized OfficialRoderick E McmillenPresident Of Small Corp · (707) 964-0242

Enumeration DateSeptember 25, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1215037684 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in CA · 18587

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

825 SEQUOIA CIRCLE, Fort Bragg, CA 95347

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Roderick E Mcmillen Dds A Dental Corp's NPI number?

The NPI number for Roderick E Mcmillen Dds A Dental Corp is 1215037684. It was assigned to this organization in the NPPES registry on September 25, 2006.

Where is Roderick E Mcmillen Dds A Dental Corp located?

Roderick E Mcmillen Dds A Dental Corp is located at 825 Sequoia Circle, Fort Bragg, CA 95347. The listed phone number is (707) 964-0242.

What is Roderick E Mcmillen Dds A Dental Corp's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Roderick E Mcmillen Dds A Dental Corp was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.