| Tom Mcneely Dds Ms | |
|
745 Olive St Suite 204 Shreveport LA 71104-2246 | |
| (318) 226-9306 | |
| (318) 221-0018 |
| Full Name | Tom Mcneely Dds Ms |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 745 Olive St, Shreveport, Louisiana |
| Authorized Official Name and Position | Thomas Edward Mcneely (OWNER PRESIDENT) |
| Authorized Official Contact | 3182269306 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tom Mcneely Dds Ms 745 Olive St Suite 204 Shreveport LA 71104-2246 Ph: (318) 226-9306 | Tom Mcneely Dds Ms 745 Olive St Suite 204 Shreveport LA 71104-2246 Ph: (318) 226-9306 |
| NPI Number | 1821186123 |
|---|---|
| Provider Enumeration Date | 10/11/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821186123 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 2847 (Louisiana) | Primary |
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