Provider Demographics
NPI:1538388749
Name:MILLIGAN, HORACE E (DDS)
Entity type:Individual
Prefix:
First Name:HORACE
Middle Name:E
Last Name:MILLIGAN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:GENE
Other - Middle Name:
Other - Last Name:MILLIGAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:1430 RANCH ROAD 12
Mailing Address - Street 2:
Mailing Address - City:SAN MARCOS
Mailing Address - State:TX
Mailing Address - Zip Code:78666-2954
Mailing Address - Country:US
Mailing Address - Phone:512-392-6739
Mailing Address - Fax:512-396-0394
Practice Address - Street 1:1430 RANCH ROAD 12
Practice Address - Street 2:
Practice Address - City:SAN MARCOS
Practice Address - State:TX
Practice Address - Zip Code:78666-2954
Practice Address - Country:US
Practice Address - Phone:512-392-6739
Practice Address - Fax:512-396-0394
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-25
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX110221223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXT0027222OtherDPS
TXAM7019032OtherDEA