Edward Clarke Bozeman JR. D.M.D.

NPI 1063495729 - Dentist - 1223G0001X

NPI Details
NPI 1063495729
Gender Male
Enumeration Date 11/26/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
2313 BLUECUTT RD
COLUMBUS MS, 39705-1305, US
Phone (662) 328-8842
Fax (662) 328-3862
Business Location
PO BOX 8936
COLUMBUS MS, 39705-0036, US
Phone (662) 328-8842
Fax (662) 328-3862
Toxanomy
Taxonomy Code 1223G0001X
License State Mississippi
License Number 1597-74
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According to our database, Dr. Edward Clarke Bozeman JR. D.M.D. NPI is 1063495729, taxonomy code is 1223G0001X and license number is 1597-74, license state is located at Mississippi. Edward Clarke Bozeman JR. D.M.D. physically located at 2313 Bluecutt Rd, Columbus MS, 39705-1305. NPI Number Edward Clarke Bozeman JR. D.M.D. has the Individual type.

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1063495729 NPI number is provided on an as is basis without warranty of any kind. 1063495729 is maintained by the National Plan & Provider Enumeration System. The contents of Edward Clarke Bozeman JR. D.M.D. are for informational purposes only.