Individual
DR. DOUGLAS J MILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1301 ELIZABETH PIKE, ELIZABETH, WV 26143
(304) 275-4289
(304) 275-3900
Mailing address
1301 ELIZABETH PIKE, P.O. BOX 729, ELIZABETH, WV 26143
(304) 275-4289
(304) 275-3900
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2652
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000728091
MS BCBS INS
—
05
—
0136796000
—
WV
01
—
728091
UNITED CONCORDIA
—
Enumeration date
10/02/2006
Last updated
10/14/2008
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