Malcolm Douglas Bailey DDS

NPI 1457472862 - Dentist - 1223G0001X

NPI Details
NPI 1457472862
Gender Male
Enumeration Date 04/03/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
130 LEE DR
CLARKSDALE MS, 38614-1909, US
Phone (662) 627-4791
Fax (662) 627-4791
Business Location
130 LEE DR
CLARKSDALE MS, 38614-1909, US
Phone (662) 627-4791
Fax (662) 627-4791
Toxanomy
Taxonomy Code 1223G0001X
License State Mississippi
License Number 165775
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According to our database, Dr. Malcolm Douglas Bailey DDS NPI is 1457472862, taxonomy code is 1223G0001X and license number is 165775, license state is located at Mississippi. Malcolm Douglas Bailey DDS physically located at 130 Lee Dr, Clarksdale MS, 38614-1909. NPI Number Malcolm Douglas Bailey DDS has the Individual type.

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1457472862 NPI number is provided on an as is basis without warranty of any kind. 1457472862 is maintained by the National Plan & Provider Enumeration System. The contents of Malcolm Douglas Bailey DDS are for informational purposes only.