Organization
THOMAS E MCNEELY DDS MS APC
Active
Other names
Tom McNeely DDS MS
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS EDWARD MCNEELY DDS MS (OWNER PRESIDENT)
(318) 226-9306
Entity
Organization
Contact information
Practice address
745 OLIVE ST, SUITE 204, SHREVEPORT, LA 71104-2246
(318) 226-9306
(318) 221-0018
Mailing address
745 OLIVE ST, SUITE 204, SHREVEPORT, LA 71104-2246
(318) 226-9306
(318) 221-0018
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
2847
LA
Other
Enumeration date
10/11/2006
Last updated
08/22/2020
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