| Humana Dental Corporation | |
|
4801 Cuba Millington Rd Millington TN 38053-5401 | |
| (318) 617-8665 | |
| (479) 252-6029 |
| Full Name | Humana Dental Corporation |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4801 Cuba Millington Rd, Millington, Tennessee |
| Authorized Official Name and Position | Steve R Alexander (DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 3186178665 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Humana Dental Corporation Po Box 1415 Greenwood AR 72936-1415 Ph: (318) 617-8665 | Humana Dental Corporation 4801 Cuba Millington Rd Millington TN 38053-5401 Ph: (318) 617-8665 |
| NPI Number | 1962558403 |
|---|---|
| Provider Enumeration Date | 01/26/2007 |
| Last Update Date | 02/21/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962558403 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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