Provider Demographics
NPI:1588777577
Name:MCMILLAN, MARGARET ROSE (DDS)
Entity type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:ROSE
Last Name:MCMILLAN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3228 LAKENHEATH PL
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75204
Mailing Address - Country:US
Mailing Address - Phone:509-833-3831
Mailing Address - Fax:
Practice Address - Street 1:TEXAS A&M SCHOOL OF DENTISTRY
Practice Address - Street 2:3000 GASTON AVE
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75226
Practice Address - Country:US
Practice Address - Phone:509-833-3831
Practice Address - Fax:573-778-9432
Is Sole Proprietor?:No
Enumeration Date:2006-08-16
Last Update Date:2023-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE 00007596122300000X
MO2017003286122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist