Individual
DR. FREDRICK H MCMILLEN
Active
Individual
DR. FREDRICK H MCMILLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DENO1479
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1479
DELTA DENTAL
RI
01
—
89292
BLUE CROSS
RI
05
—
FM00711
—
RI
Enumeration date
01/19/2006
Last updated
07/08/2007
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