Individual
THOMAS EDWARD MCNEELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS MD
Contact information
Practice address
745 OLIVE STREET, SUITE 204, SHREVEPORT, LA 71104-2246
(318) 226-9306
(318) 221-0018
Mailing address
745 OLIVE STREET, 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
09/20/2006
Last updated
07/08/2007
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