Austin Poole, Dmd, Pllc

NPI 1104108612 - Dentist - 122300000X

NPI Details
NPI 1104108612
Enumeration Date 09/12/2011
Last Updated 09/12/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name AUSTIN AUSTIN
Position OWNER
Phone (662) 627-7324
Fax (662) 627-7325
Practice Location
705 S CHOCTAW ST
CLARKSDALE MS, 38614-4810, US
Phone (662) 627-7324
Fax (662) 627-7325
Business Location
705 CHOCTAW SOUTH
CLARKSDALE MS, 38614, US
Phone (662) 627-7324
Fax (662) 627-7325
Toxanomy
Taxonomy Code 122300000X
License State Mississippi
License Number 3239-02
Remove 1104108612 NPI Number
 

According to our database, Austin Poole, Dmd, Pllc NPI is 1104108612, taxonomy code is 122300000X and license number is 3239-02, license state is located at Mississippi. Austin Poole, Dmd, Pllc physically located at 705 S Choctaw St, Clarksdale MS, 38614-4810. NPI Number 1033115704 has the healthcare provider type.

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1104108612 NPI number is provided on an as is basis without warranty of any kind. 1104108612 is maintained by the National Plan & Provider Enumeration System. The contents of Austin Poole, Dmd, Pllc are for informational purposes only.