West Main Dental
NPI #1730839622 in Raymond, Mississippi
Provider Information
- NPI Number
- 1730839622
- Entity Type
- Organization
- Organization Name
- West Main Dental
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Mar 24, 2022
- Last Updated
- Mar 24, 2022
Practice Location
- Address
- 450 W MAIN ST
- City
- Raymond
- State
- Mississippi
- ZIP Code
- 39154-8165
- Phone
- (601) 857-5021
Authorized Official
- Name
- DR. MADISON ENGLISH SMITH, DMD
- Title
- OWNER
- Phone
- (601) 559-5529
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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