Davis Dental Clinic

NPI 1073607008 - Dentist - 1223G0001X

NPI Details
NPI 1073607008
Enumeration Date 10/03/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name JOHN WILLIAM JOHN
Position MANAGER
Phone (601) 825-2411
Fax (601) 825-2419
Practice Location
365 CROSSGATES BLVD
BRANDON MS, 39042-2602, US
Phone (601) 825-2411
Fax (601) 825-2419
Business Location
365 CROSSGATES BLVD
BRANDON MS, 39042-2602, US
Phone (601) 825-2411
Fax (601) 825-2419
Toxanomy
Taxonomy Code 1223G0001X
License State Mississippi
License Number 1828-79
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According to our database, Davis Dental Clinic NPI is 1073607008, taxonomy code is 1223G0001X and license number is 1828-79, license state is located at Mississippi. Davis Dental Clinic physically located at 365 Crossgates Blvd, Brandon MS, 39042-2602. NPI Number 1033115704 has the healthcare provider type.

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1073607008 NPI number is provided on an as is basis without warranty of any kind. 1073607008 is maintained by the National Plan & Provider Enumeration System. The contents of Davis Dental Clinic are for informational purposes only.