Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JACK OLEN MILLS, D.D.S.
Active Sole ProprietorDR. JACK OLEN MILLS, D.D.S. is a Orthodontics & Dentofacial Orthopedics healthcare provider located in LIVERMORE, California. NPI 1184780660 is currently active in the NPPES registry. Verify at CMS.
Orthodontics & Dentofacial Orthopedics · LIVERMORE, CA
Registration Details
- NPI Number
- 1184780660
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 28, 2006 (19.661295826116 yrs)
- Last Updated
- Jul 8, 2007
- License
-
16954 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
60 FENTON STSUITE 7LIVERMORE, CA, 945504148Browse CA providers · Browse ZIP 94550
- Phone
- 9254434211
- Fax
- 9254434716
- Primary Specialty
-
Orthodontics & Dentofacial Orthopedics
1223P0106X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.