Individual
DR. FREDRICK H MCMILLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1226 HARTFORD AVE, SUITE 101, JOHNSTON, RI 02919
(401) 331-7171
(401) 331-2527
Mailing address
1226 HARTFORD AVE, SUITE 101, JOHNSTON, RI 02919
(401) 331-7171
(401) 331-2527
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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