Mississippi Dental Arts
NPI #1568199107 in Pass Christian, Mississippi
Provider Information
- NPI Number
- 1568199107
- Entity Type
- Organization
- Organization Name
- Mississippi Dental Arts
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Aug 3, 2022
- Last Updated
- Aug 3, 2022
Practice Location
- Address
- 121 E SECOND ST
- City
- Pass Christian
- State
- Mississippi
- ZIP Code
- 39571-4442
- Phone
- (228) 254-1212
Authorized Official
- Name
- DR. GERALD WILLIAM FAVRE III, DDS
- Title
- DENTIST/OWNER
- Phone
- (228) 254-1212
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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