Carroll Womack Dew D.D.S.

NPI 1861629974 - Dentist - 122300000X

NPI Details
NPI 1861629974
Gender Male
Enumeration Date 06/16/2009
Last Updated 06/16/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
2500 N STATE ST
JACKSON MS, 39216-4500, US
Phone (601) 984-6194
Fax
Business Location
2500 N STATE ST
JACKSON MS, 39216-4500, US
Phone (601) 984-6194
Fax
Toxanomy
Taxonomy Code 122300000X
License State Mississippi
License Number 2782-94
Remove 1861629974 NPI Number
 

According to our database, Dr. Carroll Womack Dew D.D.S. NPI is 1861629974, taxonomy code is 122300000X and license number is 2782-94, license state is located at Mississippi. Carroll Womack Dew D.D.S. physically located at 2500 N State St, Jackson MS, 39216-4500. NPI Number Carroll Womack Dew D.D.S. has the Individual type.

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1861629974 NPI number is provided on an as is basis without warranty of any kind. 1861629974 is maintained by the National Plan & Provider Enumeration System. The contents of Carroll Womack Dew D.D.S. are for informational purposes only.