Patrick Mills, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

S-1274 Issued in LA

Practice address

2508 Bert Kouns Industrial Loop
Shreveport, LA 71118-3133

Phone

(318) 465-7097

NPI assigned

May 1, 2025

Sex

Unspecified or another gender identity

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1746057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782086400000",
    "number": "1376332882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2508 BERT KOUNS INDUSTRIAL LOOP",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711183133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2508 BERT KOUNS INDUSTRIAL LOOP",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711183133",
            "telephone_number": "318-465-7097"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2600 Greenwood Rd",
            "address_purpose": "LOCATION",
            "city": "Shreveport",
            "state": "LA",
            "postal_code": "711033908",
            "country_code": "US",
            "telephone_number": "318-212-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8001 Youree Dr",
            "address_purpose": "LOCATION",
            "city": "Shreveport",
            "state": "LA",
            "postal_code": "711152302",
            "country_code": "US",
            "telephone_number": "318-212-3000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2400 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Bossier City",
            "state": "LA",
            "postal_code": "711112385",
            "country_code": "US",
            "telephone_number": "318-212-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLS",
        "first_name": "PATRICK",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "X",
        "enumeration_date": "2025-05-01",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TN",
            "license": "12885",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MS",
            "license": "111354",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "LA",
            "license": "S-1274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mills Clinic a Professional Medical Corporation
• Mills Executive Care Services
• Bryan Haywood Mills, M.D.
• Glenn Morris Mills, M.D.
• Kerrie T Mills, LCSW
• Patrick Leo Mills Jr., R.PH.
• Rosalind D Mills
• Tiffany Brown Mills
• Ty'Reginesha Reshay Mills
• Joseph W Milner Jr., MD

• Dentist in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Dentist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.