Individual
DR. GEOFFREY CALEB MILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
225 ABRAHAM FLEXNER WAY, SUITE 302, LOUISVILLE, KY 40202-1882
(502) 587-7874
(502) 587-0758
Mailing address
2800 CANNONS LN, STE 100, LOUISVILLE, KY 40205
(502) 454-4885
(502) 452-1926
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
8703
KY
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
43017
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201055810
—
IN
05
—
7100085770
—
KY
05
—
7100089900
—
KY
Enumeration date
02/05/2007
Last updated
06/12/2017
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