1659384311

Everything you always wanted to know about MILLS IRVING JOHN DDS but were afraid to ask.

MILLS IRVING JOHN DDS

You can also download the this 1659384311 data report as csv | excel | json | xml
Provider Last Name Provider Middle Name Provider First Name Provider Credential
MILLS IRVING JOHN DDS
Gender:
Male
Enumeration date:
2006-08-14
Last update date:
2007-07-08
Current as of:
Is sole proprietor?:
No
Is organization subpart?:
No
In PECOS?:
No
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Identifiers

identifier description issuer state

Taxonomies

Taxonomy State License Number Primary?
122300000X Dentist MO MO12421 Y

Phone Numbers

Type Number
Mailing Address Telephone Number 6369379193
Practice Location Address Telephone Number 6369379193
Mailing Address Fax Number 6369379194
Practice Location Address Fax Number 6369379194

Addresses

Type Address City State Postal Country
Mailing Address 2380 N TRUMAN BLVD CRYSTAL CITY MO 63019 MO
Practice Location Address 2380 N TRUMAN BLVD CRYSTAL CITY MO 63019 MO

Other NPI Records that share a phone number

NPI Name Address State City
1609939461 PARKIN, RONALD
Individual
2380 N TRUMAN BLVD MO CRYSTAL CITY
1891249652 WALTERS, CAMPBELL
Individual
2380 N TRUMAN BLVD MO CRYSTAL CITY

Other NPI Records that share an address

NPI Name Address State City
1609939461 PARKIN, RONALD
Individual
2380 N TRUMAN BLVD MO CRYSTAL CITY
1891249652 WALTERS, CAMPBELL
Individual
2380 N TRUMAN BLVD MO CRYSTAL CITY