NPI Code Details Logo

NPI 1457420705

NPI 1457420705 : HERBERT J MILLS DDS : CONROE, TX

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1457420705
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    HERBERT J MILLS DDS
-----------------------------------------------------
    Gender               |    Male 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    11/08/2006
-----------------------------------------------------
    Last Update Date     |    07/07/2023
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    1317 W DAVIS ST STE D 
-----------------------------------------------------
    City                 |    CONROE
-----------------------------------------------------
    State                |    TX
-----------------------------------------------------
    Zip                  |    77304-2334
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    936-760-2400
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    275 N HIGHWAY 16 SUITE 204-B
-----------------------------------------------------
    City                 |    DENVER
-----------------------------------------------------
    State                |    NC
-----------------------------------------------------
    Zip                  |    28037-3000
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    704-483-9797
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    1223G0001X
-----------------------------------------------------
    Taxonomy Name        |    General Practice Dentistry
-----------------------------------------------------
    License Number       |    NC107695
-----------------------------------------------------
    License Number State |    NC
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    1223G0001X
-----------------------------------------------------
    Taxonomy Name        |    General Practice Dentistry
-----------------------------------------------------
    License Number       |    27804
-----------------------------------------------------
    License Number State |    TX
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.