Forest Dental Practice Pllc
NPI #1861542433 in Forest, Mississippi
Provider Information
- NPI Number
- 1861542433
- Entity Type
- Organization
- Organization Name
- Forest Dental Practice Pllc
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jan 12, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- PO DRAWER 30
- City
- Forest
- State
- Mississippi
- ZIP Code
- 39074
- Phone
- (601) 469-3851
Authorized Official
- Name
- JOHN B SMITH, DMD
- Title
- OWNER
- Phone
- (601) 469-3851
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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