Nash Family Dentistry, Inc

NPI 1407940141 - Dentist - 1223G0001X

NPI Details
NPI 1407940141
Enumeration Date 10/03/2006
Last Updated 06/19/2012
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name KENNETH DAVID KENNETH
Position PRESIDENT
Phone (601) 634-1812
Fax (601) 630-9559
Practice Location
1201 MISSION PARK DR
VICKSBURG MS, 39180-3747, US
Phone (601) 634-1812
Fax (601) 630-9559
Business Location
1201 MISSION PARK DR
VICKSBURG MS, 39180-3747, US
Phone (601) 634-1812
Fax (601) 630-9559
Toxanomy
Taxonomy Code 1223G0001X
License State Mississippi
License Number 2354
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According to our database, Nash Family Dentistry, Inc NPI is 1407940141, taxonomy code is 1223G0001X and license number is 2354, license state is located at Mississippi. Nash Family Dentistry, Inc physically located at 1201 Mission Park Dr, Vicksburg MS, 39180-3747. NPI Number 1033115704 has the healthcare provider type.

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1407940141 NPI number is provided on an as is basis without warranty of any kind. 1407940141 is maintained by the National Plan & Provider Enumeration System. The contents of Nash Family Dentistry, Inc are for informational purposes only.