Organization
WILLIAM R LUDDEN DMD PC
Active
Other names
millington family dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM R LUDDEN DMD (OWNER)
(901) 872-8151
Entity
Organization
Contact information
Practice address
7799 CHURCH ST, MILLINGTON, TN 38053-2431
(901) 872-8151
Mailing address
7799 CHURCH ST, MILLINGTON, TN 38053-2431
(901) 872-8151
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q059220
—
TN
Enumeration date
10/08/2020
Last updated
10/08/2020
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