Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jonathan Daniel Mills, DDS

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1447993266

Dr. Jonathan Daniel Mills, DDS is a Dentist in San Ysidro, California. Qualified in 2022, 4 years ago. Practices as a sole proprietor. Licensed in California.

Years since qualifying
4
Licensed in
CA
In the registry since
2022
Specialties on file
2
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

4050 Beyer Blvd
San Ysidro, CA 92173-2007
Phone: (619) 662-4100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence 110142 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1447993266
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedApril 19, 2022
Last updated in NPPESJuly 18, 2024
Certification dateJuly 18, 2024
Mailing addressPo Box 3414, San Diego, CA 92163-1414

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDENTIST
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in San Ysidro