MEDICARE: ALLISON HIGGINS 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
1	1223P0221X	Pediatric Dentistry	S1230	KY

General Provider Information

NPI Number	:	1639824535
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALLISON HIGGINS MILLS DMD

Provider Business Mailing Address
First Line	:	PO BOX N
Second Line	:
City	:	MAYFIELD
State	:	KY
Zip	:	42066-0019
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	212 N 7TH ST
Second Line	:
City	:	MAYFIELD
State	:	KY
Zip	:	42066-1820
Country	:	US
Telephone Number	:	606-802-6191
Fax Number	:

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

Provider Enumeration Date	:	02/18/2022
Last Update Date	:	06/16/2026

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