Provider Demographics
NPI:1093976946
Name:MILLS, YASMINE-JEET (DDS)
Entity Type:Individual
Prefix:DR
First Name:YASMINE-JEET
Middle Name:
Last Name:MILLS
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:YASMINE-JEET
Other - Middle Name:
Other - Last Name:TOOR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:4319 CREEKTON CT
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40241-6447
Mailing Address - Country:US
Mailing Address - Phone:502-657-8812
Mailing Address - Fax:
Practice Address - Street 1:3901 DUTCHMANS LN
Practice Address - Street 2:SUITE 201
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40207-4722
Practice Address - Country:US
Practice Address - Phone:502-895-2218
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-23
Last Update Date:2011-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY86581223G0001X
IN12011622A1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice