Healthcare Provider Details

I. General information

NPI: 1922216217
Provider Name (Legal Business Name): DRS. MILBERT & BICKNELL, DDS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/18/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

311 1ST ST N
COLD SPRING MN
56320-1611
US

IV. Provider business mailing address

311 1ST ST N
COLD SPRING MN
56320-1611
US

V. Phone/Fax

Practice location:
  • Phone: 320-685-8891
  • Fax: 320-685-5321
Mailing address:
  • Phone: 320-685-8891
  • Fax: 320-685-5321

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberD11138
License Number StateMN

VIII. Authorized Official

Name: DR. CAROL BICKNELL
Title or Position: OWNER
Credential:
Phone: 320-685-8891