| C Knox Mcmillan Dds, Ms, Pa , | |
|
2310 Myron Dr Raleigh NC 27607-3358 | |
| (919) 781-6217 | |
| (919) 781-6213 |
| Full Name | C Knox Mcmillan Dds, Ms, Pa , |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 2310 Myron Dr, Raleigh, North Carolina |
| Authorized Official Name and Position | C Knox Mcmillan (PERIODONTIST) |
| Authorized Official Contact | 9197816217 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| C Knox Mcmillan Dds, Ms, Pa , 2310 Myron Dr Raleigh NC 27607-3358 Ph: (919) 781-6217 | C Knox Mcmillan Dds, Ms, Pa , 2310 Myron Dr Raleigh NC 27607-3358 Ph: (919) 781-6217 |
| NPI Number | 1558572289 |
|---|---|
| Provider Enumeration Date | 05/24/2007 |
| Last Update Date | 09/04/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558572289 | NPI | - | NPPES |
| 8995843 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 3581 (North Carolina) | Primary |
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