Individual provider · Type 1 NPI

Fredrick H. McMillen, DDS

Orthodontics and Dentofacial Orthopedics Dentistry · Johnston, RI

NPI number 1003896697 Active · reactivated Jun 22, 2007

Practice location

1226 Hartford Ave, Suite 101
Johnston, RI 02919

Fax (401) 331-2527

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400XDENO1479 (RI)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1003896697

Fredrick H. McMillen, DDS's National Provider Identifier is 1003896697, issued on Jan 19, 2006. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Johnston, RI. The record was last updated on Jul 8, 2007.