Provider Demographics
NPI:1437161965
Name:MILO, SHELDON GARY (DDS)
Entity type:Individual
Prefix:DR
First Name:SHELDON
Middle Name:GARY
Last Name:MILO
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 1:27 WICKS RD
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:NY
Mailing Address - Zip Code:11717-4213
Mailing Address - Country:US
Mailing Address - Phone:631-231-9314
Mailing Address - Fax:631-952-1243
Practice Address - Street 1:27 WICKS RD
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:NY
Practice Address - Zip Code:11717-4213
Practice Address - Country:US
Practice Address - Phone:631-231-9314
Practice Address - Fax:631-952-1243
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-13
Last Update Date:2013-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0396101223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice