Individual
SUZANNA ASHBY MILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D
Contact information
Practice address
412 N KENTUCKY AVE, MADISONVILLE, KY 42431-1711
(270) 452-2553
Mailing address
4301 GATEWAY DR APT AA, OWENSBORO, KY 42303-2562
(270) 316-2074
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12012077A
IN
1223G0001X
General Practice Dentistry
8887
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100143940
—
KY
Enumeration date
10/05/2010
Last updated
02/03/2020
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