Gulfcoast Dental Center

NPI 1003114547 - Dentist - 1223G0001X

NPI Details
NPI 1003114547
Enumeration Date 03/08/2011
Last Updated 03/08/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name ROY LEE ROY
Position DENTIST
Phone (228) 863-6413
Fax
Practice Location
3118 15TH STREET
GULFPORT MS, 39501, US
Phone (228) 863-6413
Fax
Business Location
3118 15TH ST
GULFPORT MS, 39501-2708, US
Phone (228) 863-6413
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Mississippi
License Number 1781-77
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According to our database, Gulfcoast Dental Center NPI is 1003114547, taxonomy code is 1223G0001X and license number is 1781-77, license state is located at Mississippi. Gulfcoast Dental Center physically located at 3118 15th Street, Gulfport MS, 39501. NPI Number 1033115704 has the healthcare provider type.

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1003114547 NPI number is provided on an as is basis without warranty of any kind. 1003114547 is maintained by the National Plan & Provider Enumeration System. The contents of Gulfcoast Dental Center are for informational purposes only.