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MRS. MITRA BOLBOLAN MACMILLAN D.D.S
NPI 1497964514
Dentist - Periodontics in Corona, CA

Active since May 22, 2007
4264 GREEN RIVER RD, CORONA, CA 92880(951) 340-0200(951) 278-9858 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Mitra Bolbolan Macmillan D.d.s NPPES

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

MRS. MITRA BOLBOLAN MACMILLAN D.D.S (NPI 1497964514) is an individual periodontics provider in Corona, California, licensed in California (42808) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1497964514
Entity TypeIndividualFemale
Primary Taxonomy1223P0300X
Provider Legal NameMRS. MITRA BOLBOLAN MACMILLANCredential: D.D.S
Location Address4264 GREEN RIVER RDCorona, CA 92880-1669
Mailing Address4264 Green River RdCorona, CA 92880-1669 · (951) 340-0200 · Fax (951) 278-9858
Phone(951) 340-0200
Fax(951) 278-9858
Sole ProprietorYes
Enumeration DateMay 22, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1497964514 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in CA · 42808
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
4264 GREEN RIVER RD, Corona, CA 92880
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and more.Insurance ›

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SINGHAL DENTAL INC
Point of Service
4264 GREEN RIVER RD, SUITE # 102
CORONA, CA 92880
Riverside County (951) 340-0200
NGUYEN LY NGUY DENTAL CORP
Dentist
4264 GREEN RIVER RD, SUITE 102
CORONA, CA 92880
Riverside County (951) 340-0200
DENTAL HEALTH CORONA
Dentist (General Practice)
4264 GREEN RIVER RD
CORONA, CA 92880
Riverside County (951) 340-0200
EIKERBEE, INC
Pharmacy (Mail Order Pharmacy)
4264 GREEN RIVER RD, SUITE 101
CORONA, CA 92880
Riverside County (888) 817-2744

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 Mitra Macmillan's NPI number?

The NPI number for Mitra Macmillan is 1497964514. It was assigned to this individual provider in the NPPES registry on May 22, 2007.

Where is Mitra Macmillan located?

Mitra Macmillan practices at 4264 Green River Rd, Corona, CA 92880. The listed phone number is (951) 340-0200.

What is Mitra Macmillan's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

What insurance does Mitra Macmillan accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 5 other insurers list Mitra Macmillan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mitra Macmillan was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.