C KNOX MCMILLAN DDS MS PA NPI 1558572289

NPI Information

  • NPI: 1558572289
  • Provider Name: C KNOX MCMILLAN DDS, MS, PA ,
  • Classification: Dentist - 1223P0300X
  • Specialization: Periodontics
  • Entity Type: Organization
  • Address: 2310 MYRON DR
    RALEIGH, NC
    ZIP 27607
  • Phone: (919) 781-6217

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NPI Details

C KNOX MCMILLAN DDS, MS, PA , is a periodontics dentist in Raleigh, NC. The provider is 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. C KNOX MCMILLAN DDS, MS, PA , NPI is 1558572289. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2310 MYRON DR
RALEIGH, NC
ZIP 27607-358
Phone: (919) 781-6217
Fax: (919) 781-6213

The provider's authorized official is C Knox Mcmillan .
The authorized official title is Periodontist and has the following contact phone number (919) 781-6217.

The enumeration date for this NPI number is 5/24/2007 and was last updated on 9/4/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223P0300XDentistPeriodontics3581NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
18995843MEDICAIDNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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