Provider Demographics
NPI:1194883041
Name:ESSIG, MILTON EDWARD (DMD)
Entity type:Individual
Prefix:DR
First Name:MILTON
Middle Name:EDWARD
Last Name:ESSIG
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:26800 PERDIDO BEACH BLVD
Mailing Address - Street 2:# 1511
Mailing Address - City:ORANGE BEACH
Mailing Address - State:AL
Mailing Address - Zip Code:36561-6137
Mailing Address - Country:US
Mailing Address - Phone:205-934-2340
Mailing Address - Fax:205-934-7899
Practice Address - Street 1:1919 7TH AVE S
Practice Address - Street 2:UAB DENTAL GROVE
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35294
Practice Address - Country:US
Practice Address - Phone:205-934-2340
Practice Address - Fax:205-934-7899
Is Sole Proprietor?:No
Enumeration Date:2006-12-04
Last Update Date:2016-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL29041223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice