DR. Leroy Allen Selvidge, D.D.S.

NPI #1568672293 in Oxford, Mississippi

Provider Information

NPI Number: 1568672293
Entity Type: Individual
Name: DR. Leroy Allen Selvidge, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: D.D.S.
Enumeration Date: May 23, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 1108 MIMOSA DR
City: Oxford
State: Mississippi
ZIP Code: 38655-5102
Phone: (662) 234-0922

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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