Healthcare Provider Details

I. General information

NPI: 1154586311
Provider Name (Legal Business Name): JACOB MILUNSKY DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/26/2008
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1801 ROCKLAND RD
WILMINGTON DE
19803-3648
US

IV. Provider business mailing address

607 HAVERHILL RD
WILMINGTON DE
19803-2402
US

V. Phone/Fax

Practice location:
  • Phone: 302-651-4400
  • Fax:
Mailing address:
  • Phone: 215-880-0191
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberG1-0001345
License Number StateDE
# 2
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License NumberDS037813
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: