Central Mississippi Outreach, LLC

NPI #1871915397 in Utica, Mississippi

Provider Information

NPI Number: 1871915397
Entity Type: Organization
Organization Name: Central Mississippi Outreach, LLC
Primary Specialty: Dentist
Enumeration Date: Jan 17, 2014
Last Updated: Jan 17, 2014

Practice Location

Address: 2160 D NEWMAN RD
City: Utica
State: Mississippi
ZIP Code: 39175-9039
Phone: (601) 214-3041

Authorized Official

Name: DR. ROBERT J HAUPTMAN, D.M.D.
Title: PARTNER
Phone: (601) 214-3041

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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