Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1508240763 Individual Practitioner Female Practitioner

Marisa Lee Milligan

Dentist • Bloomington, IL

Professional Overview & Biography Verified Profile Summary

Marisa Milligan is a registered healthcare professional specializing in Dentist in Bloomington, IL. Practice services are available at 1404 EASTLAND DR STE 101 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1404 Eastland Dr Ste 101

Bloomington, IL 617017904

Telephone 3096634711
Fax 3096631854
Associated Practice Facility / Clinic
🏢 Eastland Dental Center, Ltd. Facility NPI 1609134865

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Bloomington, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 2.0 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
43 Specialists

Practicing in Bloomington, IL (4751 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License IL 019030295

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Dr. Daniel Milligan , DDS

Dentist - General Practice

NPI 1093887283

Doctor of Dental Surgery

Dr. Michael Milligan , DMD

Dentist - General Practice

NPI 1710045562

Doctor of Dental Medicine

Dr. Kenneth Gerstein , DDS

Dentist - Periodontics

NPI 1730243056

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 16, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location July 16, 2015

Registered at 1404 EASTLAND DR STE 101, BLOOMINGTON, IL 617017904 (Tel: 3096634711)

📍
Updated Business Mailing Address July 16, 2015

Registered at 1404 EASTLAND DR STE 101, BLOOMINGTON, IL 617017904 (Tel: 3096634711)

👤
Provider Name / Credentials Updated July 16, 2015

Recorded as MARISA MILLIGAN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 16, 2015

Dentist (License #019030295 in IL)

🟢
Initial NPI Registration & Enumeration July 16, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1508240763
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 16, 2015
Last Update: July 16, 2015
Sole Proprietor: No

Mailing Address

1404 Eastland Dr Ste 101

Bloomington, IL 617017904

Phone: 3096634711

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.