Individual ProviderJacob MilnerDentistDental ProvidersPractice Address211 Kennedy Ct, Hanover, PA 17331-5205(717) 632-4337PECOS EnrollmentBased on the most recent information from CMS, provider Jacob Milner does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:14 PM.Profile DetailsProvider ID1942584974Provider TypeIndividualFull NameMilner, JacobCredentialDDSGenderMaleSole ProprietorYesEnumeration Date10/10/2011Last Updated10/10/2011Contact InformationPractice LocationPractice Address211 Kennedy Ct, Hanover, PA 17331-5205Phone(717) 632-4337FaxUnlisted FaxMailing LocationMailing Address211 Kennedy Ct, Hanover, PA 17331-5205Phone(717) 632-4337FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1223G0001XPrimaryDescriptionDentistDental ProvidersLicense14977Maryland