MEDICARE: DR. YASMINE-JEET MILLS D.D.S

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice	8658	KY
2	1223G0001X	General Practice	12011622A	IN

General Provider Information

NPI Number	:	1093976946
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. YASMINE-JEET MILLS D.D.S

Provider Business Mailing Address
First Line	:	4319 CREEKTON CT
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40241-6447
Country	:	US
Telephone Number	:	502-657-8812
Fax Number	:

Provider Business Practice Location Address
First Line	:	3901 DUTCHMANS LN
Second Line	:	SUITE 201
City	:	LOUISVILLE
State	:	KY
Zip	:	40207-4722
Country	:	US
Telephone Number	:	502-895-2218
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/23/2008
Last Update Date	:	06/09/2011

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Directions to “ DR. YASMINE-JEET MILLS D.D.S” Practice Location

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