Jack Olen Mills in Livermore - Oral And Maxillofacial Pathology

Jack Olen Mills - NPI 1184780660

Jack Olen Mills is a Oral And Maxillofacial Pathology in Livermore, California. Jack Olen Mills practices all healthcare services and medical treatments related to Oral And Maxillofacial Pathology. The NPI Number for Jack Olen Mills is 1184780660. The last update date is 2007-07-08.

Jack Olen Mills's current location address is 60 Fenton St, Livermore, California. You can contact this provider via phone number 9254434211 and fax number 9254434716. The mailing address for Jack Olen Mills is 60 Fenton St, Livermore, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Jack Olen Mills
Address 60 Fenton St, Livermore, California
Phone Number 9254434211
Fax Number 9254434716
Sole Proprietor Y
Credentials D.D.S.

NPI Number Detail

NPI Number 1184780660
Provider Enumeration Date 2006-12-28
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 60 Fenton St
City Livermore
State California (CA)
Post Code 945504148
Phone Number 9254434211
Fax Number 9254434716

Provider's Primary Taxonomy Detail

Speciality Oral And Maxillofacial Pathology
Taxonomy 1223P0106X
Licence No 16954
Definition:
The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these

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FAQs about Jack Olen Mills

What is the unique 10-digit identification code issued to Jack Olen Mills by the Centers for Medicare & Medicaid Services?

The Jack Olen Mills has been assigned the NPI (National Provider Identifier) 1184780660 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Where is the Jack Olen Mills located?

The Jack Olen Mills is located at 60 Fenton St, Livermore, CA 945504148.

What is the area of specialization for Jack Olen Mills, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Jack Olen Mills is Oral And Maxillofacial Pathology, and the corresponding taxonomy code that categorizes this area of expertise is 1223P0106X.

On what date did the Centers for Medicare & Medicaid Services assign the 1184780660 to Jack Olen Mills?

The Centers for Medicare & Medicaid Services assigned the 1184780660 to Jack Olen Mills on 2006-12-28.

As of what date was the information pertaining to Jack Olen Mills, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Jack Olen Mills, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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