Provider Demographics
NPI:1639265515
Name:MILLS, JOE JAMES (DDS)
Entity Type:Individual
Prefix:DR
First Name:JOE
Middle Name:JAMES
Last Name:MILLS
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:850 W LITTLE YORK RD
Mailing Address - Street 2:STE A
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77091-2353
Mailing Address - Country:US
Mailing Address - Phone:281-260-9366
Mailing Address - Fax:281-260-6620
Practice Address - Street 1:850 W LITTLE YORK RD
Practice Address - Street 2:STE A
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77091-2353
Practice Address - Country:US
Practice Address - Phone:281-260-9366
Practice Address - Fax:281-260-6620
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX117721223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice