| Tom T. Milliken, Dds Llc | |
|
1810 Ee Wallace Blvd N Ste 2 Ferriday LA 71334-2253 | |
| (318) 757-9370 | |
| Not Available |
| Full Name | Tom T. Milliken, Dds Llc |
|---|---|
| Speciality | Dentist |
| Location | 1810 Ee Wallace Blvd N Ste 2, Ferriday, Louisiana |
| Authorized Official Name and Position | Tom T Milliken (OWNER) |
| Authorized Official Contact | 3187573648 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tom T. Milliken, Dds Llc 1810 Ee Wallace Blvd N Ste 2 Ferriday LA 71334-2253 Ph: (318) 757-9370 | Tom T. Milliken, Dds Llc 1810 Ee Wallace Blvd N Ste 2 Ferriday LA 71334-2253 Ph: (318) 757-9370 |
| NPI Number | 1942676143 |
|---|---|
| Provider Enumeration Date | 08/11/2015 |
| Last Update Date | 08/11/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942676143 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 5976 (Louisiana) | Primary |
Jim Iverstine, D.d.s., Apc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 207 Serio Blvd, Ferriday, LA 71334 Phone: 318-757-4561 Fax: 318-757-4595 |