Booneville General Dentistry, P.a.
NPI #1881073716 in Booneville, Mississippi
Provider Information
- NPI Number
- 1881073716
- Entity Type
- Organization
- Organization Name
- Booneville General Dentistry, P.a.
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- May 26, 2015
- Last Updated
- May 26, 2015
Practice Location
- Address
- 507 E CHURCH ST
- City
- Booneville
- State
- Mississippi
- ZIP Code
- 38829-3709
- Phone
- (662) 728-2123
Authorized Official
- Name
- DR. SAMUEL ROBERT HALL, DMD
- Title
- PRES
- Phone
- (662) 728-2123
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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