Individual
DR. JERRY J MILLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
212 N 7TH ST, MAYFIELD, KY 42066-1820
(270) 247-2747
(270) 247-2720
Mailing address
PO BOX 429, MAYFIELD, KY 42066-0030
(270) 247-2747
(270) 247-2720
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3518
KY
Other
Enumeration date
02/15/2007
Last updated
07/08/2007
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