Jerry J Mills, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3518 Issued in KY

Practice address

212 N 7TH St
Mayfield, KY 42066-1820

Phone

(270) 247-2747

Fax

(270) 247-2720

NPI assigned

Feb 15, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942343140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 429",
            "city": "MAYFIELD",
            "state": "KY",
            "postal_code": "420660030",
            "telephone_number": "270-247-2747",
            "fax_number": "270-247-2720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 N 7TH ST",
            "city": "MAYFIELD",
            "state": "KY",
            "postal_code": "420661820",
            "telephone_number": "270-247-2747",
            "fax_number": "270-247-2720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLS",
        "first_name": "JERRY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "3518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erica Nicole Melton, PHARMD
• Kimberly Jane Miller, LPN
• Mills Health & Rehab Center, Inc.
• Mills Opco LLC (Mills Health & Rehab Center)
• Allison Higgins Mills, DMD
• Wes Hunter Mills, D.M.D
• Mind, Body, Soul, LLC
• Jordan Isaac Mitchell
• Christa Monroe, NP
• Brooke Moore, RN

• General Practice Dentistry in Mayfield, KY
• Providers in Mayfield, 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 Jul 8, 2007; 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.