Healthcare Provider Details

I. General information

NPI: 1639824535
Provider Name (Legal Business Name): ALLISON HIGGINS MILLS DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/18/2022
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

212 N 7TH ST
MAYFIELD KY
42066-1820
US

IV. Provider business mailing address

PO BOX N
MAYFIELD KY
42066-0019
US

V. Phone/Fax

Practice location:
  • Phone: 606-802-6191
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License NumberS1230
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: