MEDICARE: MILLS FAMILY DENTISTRY PA

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	261QD0000X	Dental Clinic/Center

General Provider Information

NPI Number	:	1306603691
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MILLS FAMILY DENTISTRY PA

Provider Business Mailing Address
First Line	:	206 WALKER AVE N
Second Line	:
City	:	NEW YORK MILLS
State	:	MN
Zip	:	56567-4004
Country	:	US
Telephone Number	:	218-385-3130
Fax Number	:

Provider Business Practice Location Address
First Line	:	206 WALKER AVE N
Second Line	:
City	:	NEW YORK MILLS
State	:	MN
Zip	:	56567-4004
Country	:	US
Telephone Number	:	218-385-3130
Fax Number	:

Authorized Official
Title or Position	:	OWNER/PRES
Name	:	DR. TAMMY LYNN STURDEVANT
Credential	:	DDS
Telephone Number	:	218-298-4230

Provider Enumeration Date	:	03/04/2024
Last Update Date	:	03/04/2024

Similar Medicare Providers

1346221660 — JUDITH HERTANU MD
Practice Location Address:

10 UNION SQ E , BETH ISRAEL MED CTR- DEPT OF REHAB MEDICARE
NEW YORK, NY
10003-3314

Practice Phone: 212-420-2757
Practice Fax:

1316960727 — DR. GREGORY B HAMMERS DDS
Practice Location Address:

206 WALKER AVE N
NEW YORK MILLS, MN
56567-4004

Practice Phone: 218-385-3130
Practice Fax: 218-385-9131

1356457543 — RACHEL KREKULA GRIEGER DDS
Practice Location Address:

206 WALKER AVE N
NEW YORK MILLS, MN
56567-4004

Practice Phone: 218-385-3130
Practice Fax:

1477968238 — RACHEL K. GRIEGER DDS PA
Practice Location Address:

206 WALKER AVE N
NEW YORK MILLS, MN
56567-4004

Practice Phone: 218-385-3130
Practice Fax: 218-385-9131

1912874033 — FUTURE STARTS NOW, INC.
Practice Location Address:

2959 DALMATION DR
HOPE MILLS, NC
28348-4004

Practice Phone: 472-210-1384
Practice Fax:

1710934682 — DR. RUSSELL FREDERICK TRAHAN
Practice Location Address:

247 W 145TH ST
NEW YORK, NY
10039-4004

Practice Phone: 212-281-9300
Practice Fax: 212-491-7984

Directions to “MILLS FAMILY DENTISTRY PA ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.