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NPI Code Detail

MEDICARE: STEVEN MILLS DMD

MEDICARE: STEVEN MILLS DMD
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
11223G0001XGeneral Practice DentistryDDS110918CA

General Provider Information

NPI Number : 1477252963
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEVEN MILLS DMD
Provider Business Mailing Address
First Line : 1962 FORTUNA AVE
Second Line :
City : SAN DIEGO
State : CA
Zip : 92109-6118
Country : US
Telephone Number : 757-293-8457
Fax Number :
Provider Business Practice Location Address
First Line : 2995 CLAIREMONT DR STE A
Second Line :
City : SAN DIEGO
State : CA
Zip : 92117-6766
Country : US
Telephone Number : 858-200-0827
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/23/2023
Last Update Date : 06/19/2026

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