NPI 1013495639

Kenneth Andrew Millard, DDS

Practitioner Dentist Fpo, AP

Practice location

Address: 3d Den Bn 3d Mlg Unit 38450, Fpo, AP 96373-8450
Phone: (315) 645-2390
Mailing address: 34 W 1700 S, Orem, UT 84058-7470

Registered specialties (2)

Dentist Primary

Dental Providers Taxonomy 122300000X Licence 121136879921 (UT)

Other Dentist providers in Armed Forces Pacific →

General Practice Dentistry

Dental Providers Taxonomy 1223G0001X Licence 102947 (CA)

Registry record

NPI: 1013495639
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 Aug 2018
Record last updated: 17 Aug 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.