Suzanna Ashby Mills, D.M.D

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12012077A Issued in IN

Practice address

412 N Kentucky Ave
Madisonville, KY 42431-1711

Phone

(270) 452-2553

NPI assigned

Oct 5, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1286236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580688000000",
    "number": "1831408004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 GATEWAY DR APT AA",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423032562",
            "telephone_number": "270-316-2074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 N KENTUCKY AVE",
            "city": "MADISONVILLE",
            "state": "KY",
            "postal_code": "424311711",
            "telephone_number": "270-452-2553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLS",
        "first_name": "SUZANNA",
        "middle_name": "ASHBY",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-05",
        "last_updated": "2020-02-03",
        "certification_date": "2020-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "8887",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12012077A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100143940",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kole Metz, LPCC
• Michael R Fisher DO, PSC
• William R. Millay III, DMD
• Jamie T. Miller, APRN
• Stacey Michelle Miller, M.D
• Shanna Milutin, RN
• Mindwell Psychiatric Care LLC
• Douglas Ray Mings, LPP
• Sanaa Mirza, MD
• Eric W. Mitchell, APRN

• General Practice Dentistry in Madisonville, KY
• Providers in Madisonville, KY by specialty
• General Practice Dentistry in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2020; 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.