Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Edward McMillan

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1154176287

Edward McMillan is a Student in an Organized Health Care Education/Training Program in Cannon AFB, New Mexico. Licensed in South Carolina. Registered with an NPI since 2024.

Licensed in
SC
In the registry since
2024
Specialties on file
2

Practice location Address checks out

224 W D L Ingram Ave Bldg 1408
Cannon AFB, NM 88103-5014
Phone: (575) 784-2778
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 10823 (SC)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence DGD.10823 (SC)

Record details

NPI number1154176287
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 22, 2024
Last updated in NPPESAugust 28, 2025
Certification dateAugust 20, 2025
Mailing address77 Nealy Ave, Langley Afb, VA 23665-2040

Other providers in Cannon AFB