Poplarville Dental Clinic
NPI #1306142674 in Poplarville, Mississippi
Provider Information
- NPI Number
- 1306142674
- Entity Type
- Organization
- Organization Name
- Poplarville Dental Clinic
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Feb 4, 2011
- Last Updated
- Feb 4, 2011
Practice Location
- Address
- 1718 SOUTH MAIN STREET
- City
- Poplarville
- State
- Mississippi
- ZIP Code
- 39470-4287
- Phone
- (601) 795-8024
Authorized Official
- Name
- DR. DUSTIN GABRIEL SMITH, DMD
- Title
- DENTIST
- Phone
- (601) 795-8024
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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