Provider Demographics
NPI:1144435900
Name:MILLS, KAREN RENEE (DDS)
Entity type:Individual
Prefix:DR
First Name:KAREN
Middle Name:RENEE
Last Name:MILLS
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:123 MARBLE MILL RD NW
Mailing Address - Street 2:SUITE A
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30060-7954
Mailing Address - Country:US
Mailing Address - Phone:770-499-7756
Mailing Address - Fax:770-499-1201
Practice Address - Street 1:123 MARBLE MILL RD NW
Practice Address - Street 2:SUITE A
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30060-7954
Practice Address - Country:US
Practice Address - Phone:770-499-7756
Practice Address - Fax:770-499-1201
Is Sole Proprietor?:No
Enumeration Date:2007-05-14
Last Update Date:2013-08-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA109111223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice