Copiah Family Dentistry

NPI #1750699039 in Hazlehurst, Mississippi

Provider Information

NPI Number: 1750699039
Entity Type: Organization
Organization Name: Copiah Family Dentistry
Primary Specialty: Dentist
Enumeration Date: Sep 20, 2010
Last Updated: Sep 24, 2010

Practice Location

Address: 217 S EXTENSION ST
City: Hazlehurst
State: Mississippi
ZIP Code: 39083-3322
Phone: (601) 894-4244

Authorized Official

Name: DR. CARL ANTHONY BOYKIN, D.M.D
Title: SOLE PROPRIETOR
Phone: (601) 812-8686

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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