Ellisville Family Dental

NPI 1033269840 - Dentist - 1223G0001X

NPI Details
NPI 1033269840
Enumeration Date 01/12/2007
Last Updated 03/26/2014
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name STEPHEN L STEPHEN
Position OWNER
Phone (601) 477-3771
Fax
Practice Location
401 HIGHWAY 11 S
ELLISVILLE MS, 39437-3103, US
Phone (601) 477-3771
Fax
Business Location
401 HIGHWAY 11 S
ELLISVILLE MS, 39437-3103, US
Phone
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Mississippi
License Number 2366-87
Remove 1033269840 NPI Number
 

According to our database, Ellisville Family Dental NPI is 1033269840, taxonomy code is 1223G0001X and license number is 2366-87, license state is located at Mississippi. Ellisville Family Dental physically located at 401 Highway 11 S, Ellisville MS, 39437-3103. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1033269840 NPI number is provided on an as is basis without warranty of any kind. 1033269840 is maintained by the National Plan & Provider Enumeration System. The contents of Ellisville Family Dental are for informational purposes only.