Humphreys Dental, LLC

NPI #1104151265 in Purvis, Mississippi

Provider Information

NPI Number: 1104151265
Entity Type: Organization
Organization Name: Humphreys Dental, LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Oct 7, 2009
Last Updated: Oct 7, 2009

Practice Location

Address: 444 SHELBY SPEIGHTS DRIVE
City: Purvis
State: Mississippi
ZIP Code: 39475
Phone: (601) 794-8115

Authorized Official

Name: DR. MICHAEL CHANDLER HUMPHREYS, DMD
Title: OWNER
Phone: (601) 794-8115

Specialties & Taxonomy Codes

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

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