Individual
DR. SAMUEL EVANS MULLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
809 APOLLO RD STE 200, SCOTT, LA 70583-5393
(870) 926-5257
Mailing address
809 APOLLO RD STE 200, SCOTT, LA 70583-5393
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7323
LA
1223G0001X
General Practice Dentistry
Primary
D-0007040-C1
AL
Other
Enumeration date
06/24/2022
Last updated
01/12/2026
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