DR. Tony Lavelle Humphries, D. M. D.

NPI #1497731236 in Columbia, Mississippi

Provider Information

NPI Number
1497731236
Entity Type
Individual
Name
DR. Tony Lavelle Humphries, D. M. D.
Gender
Not Specified
Sole Proprietor
Not Answered
Primary Specialty
Dentist
Credential
D. M. D.
Enumeration Date
Dec 22, 2005
Last Updated
Jul 8, 2007

Practice Location

Address
144 OLD HIGHWAY 98 E
ZIP Code
39429-6447
Phone
(601) 736-5681

Specialties & Taxonomy Codes

Specialty
Dentist

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Organizations

Provider Name
Columbia Family Dental LLC

Part of Michael C Humphreys

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