MEDICARE: DR. DUGALD RICHARD MCMILLAN IV D.M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	5691	AL

General Provider Information

NPI Number	:	1235369158
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DUGALD RICHARD MCMILLAN IV D.M.D.

Provider Business Mailing Address
First Line	:	2306 WILDRIDGE CIR
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35216-1276
Country	:	US
Telephone Number	:	205-215-9777
Fax Number	:

Provider Business Practice Location Address
First Line	:	5291 VALLEYDALE RD STE 129
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35242-7707
Country	:	US
Telephone Number	:	205-995-3989
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/27/2009
Last Update Date	:	01/11/2026

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