Provider Demographics
NPI:1013164466
Name:MULLINIX, DENISE OWENS (DDS)
Entity Type:Individual
Prefix:DR
First Name:DENISE
Middle Name:OWENS
Last Name:MULLINIX
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:DENISE
Other - Middle Name:CARROLL
Other - Last Name:CHINS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:22749 MAPLE ROAD
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON PARK
Mailing Address - State:MD
Mailing Address - Zip Code:20653
Mailing Address - Country:US
Mailing Address - Phone:301-863-8822
Mailing Address - Fax:301-862-2351
Practice Address - Street 1:22749 MAPLE ROAD
Practice Address - Street 2:
Practice Address - City:LEXINGTON PARK
Practice Address - State:MD
Practice Address - Zip Code:20653
Practice Address - Country:US
Practice Address - Phone:301-863-8822
Practice Address - Fax:301-862-2351
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-27
Last Update Date:2020-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD14236122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist