North Mississippi Periodontics & Implant Dentistry Pllc
NPI #1932531373 in Tupelo, Mississippi
Provider Information
- NPI Number
- 1932531373
- Entity Type
- Organization
- Organization Name
- North Mississippi Periodontics & Implant Dentistry Pllc
- Primary Specialty
- Dentist - Periodontics
- Enumeration Date
- Aug 8, 2013
- Last Updated
- Aug 8, 2013
Practice Location
- Address
- 103 PARK GATE EXT
- City
- Tupelo
- State
- Mississippi
- ZIP Code
- 38801-3038
- Phone
- (662) 842-2448
Authorized Official
- Name
- JAMES MICHAEL ROBERTSON, DMD
- Title
- PRESIDENT
- Phone
- (662) 842-2448
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Periodontics — Periodontics |
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