Dental Professionals of Mississippi, P.c.
NPI #1861155764 in Hernando, Mississippi
Provider Information
- NPI Number
- 1861155764
- Entity Type
- Organization
- Organization Name
- Dental Professionals of Mississippi, P.c.
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- HEARTLAND DENTAL
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Oct 18, 2021
- Last Updated
- Oct 18, 2021
Practice Location
- Address
- 7 E COMMERCE ST
- City
- Hernando
- State
- Mississippi
- ZIP Code
- 38632-2215
- Phone
- (662) 429-5055
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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