| William R Ludden Dmd Pc | |
|
7799 Church St Millington TN 38053-2431 | |
| (901) 872-8151 | |
| Not Available |
| Full Name | William R Ludden Dmd Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 7799 Church St, Millington, Tennessee |
| Authorized Official Name and Position | William R Ludden (OWNER) |
| Authorized Official Contact | 9018728151 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| William R Ludden Dmd Pc 7799 Church St Millington TN 38053-2431 Ph: (901) 872-8151 | William R Ludden Dmd Pc 7799 Church St Millington TN 38053-2431 Ph: (901) 872-8151 |
| NPI Number | 1659978054 |
|---|---|
| Provider Enumeration Date | 10/08/2020 |
| Last Update Date | 10/08/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659978054 | NPI | - | NPPES |
| Q059220 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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