Provider Demographics
NPI:1649284167
Name:MILLS, JAMES EDWARD (DDS)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:EDWARD
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 1:610 N MISSION
Mailing Address - Street 2:STE B-4
Mailing Address - City:WENATCHEE
Mailing Address - State:WA
Mailing Address - Zip Code:98801-6611
Mailing Address - Country:US
Mailing Address - Phone:509-662-9624
Mailing Address - Fax:509-665-7205
Practice Address - Street 1:610 N MISSION
Practice Address - Street 2:STE B-4
Practice Address - City:WENATCHEE
Practice Address - State:WA
Practice Address - Zip Code:98801-6611
Practice Address - Country:US
Practice Address - Phone:509-662-9624
Practice Address - Fax:509-665-7205
Is Sole Proprietor?:No
Enumeration Date:2006-07-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA5189122300000X, 1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered122300000XDental ProvidersDentist
Not Answered1223G0001XDental ProvidersDentistGeneral Practice