Dental Professionals of Mississippi, P.c.
NPI #1558119339 in Olive Branch, Mississippi
Provider Information
- NPI Number
- 1558119339
- 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
- May 8, 2024
- Last Updated
- May 8, 2024
Practice Location
- Address
- 9035 E SANDIDGE RD STE 100
- City
- Olive Branch
- State
- Mississippi
- ZIP Code
- 38654-3563
- Phone
- (662) 895-7338
Authorized Official
- Name
- HILLARY THULL
- Title
- CREDENTIALING COORDINATOR
- Phone
- (217) 540-8946
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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