Provider Demographics
NPI:1134148406
Name:MILLIKIN, NEIL ELIOT (DDS)
Entity type:Individual
Prefix:DR
First Name:NEIL
Middle Name:ELIOT
Last Name:MILLIKIN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1509 HAZELMERE CT
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93311-4934
Mailing Address - Country:US
Mailing Address - Phone:661-665-1585
Mailing Address - Fax:
Practice Address - Street 1:3720 GOSFORD RD STE C
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93309-7695
Practice Address - Country:US
Practice Address - Phone:661-831-9024
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA304391223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice