Mills, Jack Olen

Mills, Jack Olen is an sole proprietor health care provider with primary practice located at 60 Fenton St Suite 7, Livermore CA 94550-4148. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Pathology, which is considered as his primary health care specialty. Mills, Jack Olen can be contacted via phone (925) 443-4211.

Contact Information

Primary practice address
60 Fenton St Suite 7 Livermore CA 94550-4148
Phone: (925) 443-4211
Fax: (925) 443-4716
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Pathology 1223P0106X 16954 California

Profile Details

NPI number 1184780660
LBN Legal business name Mills, Jack Olen
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 28th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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