DR. William Jacob Livingston JR., DDS

NPI #1528280831 in Tupelo, Mississippi

Provider Information

NPI Number: 1528280831
Entity Type: Individual
Name: DR. William Jacob Livingston JR., DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: May 3, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 105 PARK GATE DR
City: Tupelo
State: Mississippi
ZIP Code: 38801-3010
Phone: (662) 844-0142

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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