Provider Demographics
NPI:1992998249
Name:MILLS, DENISE AMELIA (DDS)
Entity type:Individual
Prefix:DR
First Name:DENISE
Middle Name:AMELIA
Last Name: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 1:7500 E ANGUS DR
Mailing Address - Street 2:SUITE 1
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85251-6419
Mailing Address - Country:US
Mailing Address - Phone:480-424-7886
Mailing Address - Fax:480-424-7850
Practice Address - Street 1:7500 E ANGUS DR
Practice Address - Street 2:SUITE 1
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85251-6419
Practice Address - Country:US
Practice Address - Phone:480-424-7886
Practice Address - Fax:480-424-7850
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-21
Last Update Date:2007-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAZ35891223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice