Individual
DR. MICHELE M. MILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4572 FRANKLIN RD SW, ROANOKE, VA 24014-5144
(540) 769-5020
Mailing address
2111 MILLWHEEL LN, SALEM, VA 24153-4734
(540) 387-2855
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401410488
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1885668
UNITED CONCORDIA PROVIDER
VA
01
—
247499
ANTHEM VA PROVIDER NUMBER
VA
Enumeration date
03/23/2007
Last updated
07/08/2007
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