Provider Demographics
NPI:1871817767
Name:GRANT-MILLS, DONNA BELINDA (DDS)
Entity Type:Individual
Prefix:DR
First Name:DONNA
Middle Name:BELINDA
Last Name:GRANT-MILLS
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 W ST NW RM 401
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20059-1022
Mailing Address - Country:US
Mailing Address - Phone:202-806-0079
Mailing Address - Fax:
Practice Address - Street 1:4117 19TH ST NE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20018-3207
Practice Address - Country:US
Practice Address - Phone:202-667-0738
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-03-21
Last Update Date:2010-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCDEN1000142122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist