Wa Thames Dmd Pllc

NPI #1043423841 in Olive Branch, Mississippi

Provider Information

NPI Number: 1043423841
Entity Type: Organization
Organization Name: Wa Thames Dmd Pllc
Primary Specialty: Dentist - General Practice
Enumeration Date: May 8, 2007
Last Updated: May 3, 2012

Practice Location

Address: 9035 E SANDIDGE RD
Address 2: SUITE 100
City: Olive Branch
State: Mississippi
ZIP Code: 38654-3520
Phone: (662) 895-7338

Authorized Official

Name: STEPHANI PAIGE HAWKINS
Title: OFFICE ADMINISTRATOR
Phone: (662) 895-7338

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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