Chickasaw Dental Group L. L. C.

NPI #1134212038 in Houston, Mississippi

Provider Information

NPI Number: 1134212038
Entity Type: Organization
Organization Name: Chickasaw Dental Group L. L. C.
Primary Specialty: Dentist
Enumeration Date: Oct 2, 2006
Last Updated: Dec 6, 2010

Practice Location

Address: 327 N JACKSON ST
City: Houston
State: Mississippi
ZIP Code: 38851
Phone: (662) 456-9992

Authorized Official

Name: DR. TEENA FREEMAN HORN, DMD
Title: DENTIST OWNER
Phone: (662) 456-9992

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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