Union Dentistry, Inc.

NPI 1689738833 - Dentist - 1223G0001X

NPI Details
NPI 1689738833
Enumeration Date 12/21/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name TINA NICOLE TINA
Position OWNERDENTIST
Phone (601) 774-9949
Fax (601) 774-9955
Practice Location
25043 HIGHWAY 15
UNION MS, 39365-8577, US
Phone (601) 774-9949
Fax (601) 774-9955
Business Location
25043 HIGHWAY 15
P.O. BOX 276
UNION MS, 39365-8577, US
Phone (601) 774-9949
Fax (601) 774-9955
Toxanomy
Taxonomy Code 1223G0001X
License State Mississippi
License Number 3001-97
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According to our database, Union Dentistry, Inc. NPI is 1689738833, taxonomy code is 1223G0001X and license number is 3001-97, license state is located at Mississippi. Union Dentistry, Inc. physically located at 25043 Highway 15, Union MS, 39365-8577. NPI Number 1033115704 has the healthcare provider type.

1689738833 NPI number is provided on an as is basis without warranty of any kind. 1689738833 is maintained by the National Plan & Provider Enumeration System. The contents of Union Dentistry, Inc. are for informational purposes only.