Provider Demographics
NPI:1457420705
Name:MILLS, HERBERT J (DDS)
Entity Type:Individual
Prefix:DR
First Name:HERBERT
Middle Name:J
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 1:275 N HIGHWAY 16
Mailing Address - Street 2:SUITE 204-B
Mailing Address - City:DENVER
Mailing Address - State:NC
Mailing Address - Zip Code:28037-3000
Mailing Address - Country:US
Mailing Address - Phone:704-483-9797
Mailing Address - Fax:
Practice Address - Street 1:1317 W DAVIS ST STE D
Practice Address - Street 2:
Practice Address - City:CONROE
Practice Address - State:TX
Practice Address - Zip Code:77304-2334
Practice Address - Country:US
Practice Address - Phone:936-760-2400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-08
Last Update Date:2023-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCNC1076951223G0001X
TX278041223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice