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
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 PracticeGeneral Practice

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