Dental Professionals of Mississippi, P.c.
NPI #1538597653 in Brandon, Mississippi
Provider Information
- NPI Number
- 1538597653
- Entity Type
- Organization
- Organization Name
- Dental Professionals of Mississippi, P.c.
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- DENTAL PROFESSIONALS OF MISSISSIPPI, P.C.
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Oct 29, 2013
- Last Updated
- Oct 29, 2013
Practice Location
- Address
- 555 GRANTS FERRY RD
- City
- Brandon
- State
- Mississippi
- ZIP Code
- 39047-9023
- Phone
- (601) 992-1382
Authorized Official
- Name
- KIM WILSON
- Title
- CRED. SUPERVISOR
- Phone
- (217) 540-5170
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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