Oak Grove Family Dentistry
NPI #1285817510 in Hattiesburg, Mississippi
Provider Information
- NPI Number
- 1285817510
- Entity Type
- Organization
- Organization Name
- Oak Grove Family Dentistry
- Primary Specialty
- Dentist
- Enumeration Date
- Dec 10, 2007
- Last Updated
- Dec 10, 2007
Practice Location
- Address
- 6657 U S HIGHWAY 98
- City
- Hattiesburg
- State
- Mississippi
- ZIP Code
- 39402-8442
- Phone
- (601) 264-0537
Authorized Official
- Name
- DR. ALAN D. LUCAS, D.M.D.
- Title
- DOCTOR
- Phone
- (601) 264-0537
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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