Big River Dental Pllc
NPI #1194262709 in Brandon, Mississippi
Provider Information
- NPI Number
- 1194262709
- Entity Type
- Organization
- Organization Name
- Big River Dental Pllc
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jan 21, 2017
- Last Updated
- Jan 21, 2017
Practice Location
- Address
- 103 CHRISTIAN DR
- City
- Brandon
- State
- Mississippi
- ZIP Code
- 39042-2762
- Phone
- (601) 825-1172
Authorized Official
- Name
- DR. WILLIAM PERCY DICKEY III, DMD
- Title
- OWNER/PARTNER
- Phone
- (601) 597-3490
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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