Goodloe Dental, P.a.

NPI 1073892576 - Dentist - 1223G0001X

NPI Details
NPI 1073892576
Enumeration Date 08/15/2011
Last Updated 08/15/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name ERIKA ERIKA
Position PRESIDENT
Phone (601) 859-9595
Fax (601) 859-9395
Practice Location
1207 W PEACE ST
CANTON MS, 39046-9037, US
Phone (601) 859-9595
Fax (601) 859-9395
Business Location
PO BOX 449
CANTON MS, 39046-0449, US
Phone (601) 859-9595
Fax (601) 859-9395
Toxanomy
Taxonomy Code 1223G0001X
License State Mississippi
License Number 2942-96
Remove 1073892576 NPI Number
 

According to our database, Goodloe Dental, P.a. NPI is 1073892576, taxonomy code is 1223G0001X and license number is 2942-96, license state is located at Mississippi. Goodloe Dental, P.a. physically located at 1207 W Peace St, Canton MS, 39046-9037. NPI Number 1033115704 has the healthcare provider type.

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1073892576 NPI number is provided on an as is basis without warranty of any kind. 1073892576 is maintained by the National Plan & Provider Enumeration System. The contents of Goodloe Dental, P.a. are for informational purposes only.