Dental Professionals of Mississippi, P.c.
NPI #1962831719 in Vicksburg, Mississippi
Provider Information
- NPI Number
- 1962831719
- Entity Type
- Organization
- Organization Name
- Dental Professionals of Mississippi, P.c.
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- DENTAL PROFESSIONALS OF MISSISSIPPI, P.C.
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Nov 2, 2013
- Last Updated
- Nov 2, 2013
Practice Location
- Address
- 1805 MISSION 66
- City
- Vicksburg
- State
- Mississippi
- ZIP Code
- 39180-3709
- Phone
- (601) 638-2361
Authorized Official
- Name
- KIM WILSON
- Title
- CRED. SUPERVISOR
- Phone
- (217) 540-5170
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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