Zimmerman Family Dentistry

NPI 1780811828 - Dentist - 1223G0001X

NPI Details
NPI 1780811828
Enumeration Date 06/16/2009
Last Updated 06/16/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name EMMETT LAWRENCE EMMETT
Position PRESIDENT/OWNER
Phone (228) 255-4355
Fax (228) 255-6761
Practice Location
13165 VIDALIA RD
PASS CHRISTIAN MS, 39571-9162, US
Phone (228) 255-4355
Fax (228) 255-6761
Business Location
13165 VIDALIA RD
PASS CHRISTIAN MS, 39571-9162, US
Phone (228) 255-4355
Fax (228) 255-6761
Toxanomy
Taxonomy Code 1223G0001X
License State Mississippi
License Number 3387-06
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According to our database, Zimmerman Family Dentistry NPI is 1780811828, taxonomy code is 1223G0001X and license number is 3387-06, license state is located at Mississippi. Zimmerman Family Dentistry physically located at 13165 Vidalia Rd, Pass Christian MS, 39571-9162. NPI Number 1033115704 has the healthcare provider type.

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1780811828 NPI number is provided on an as is basis without warranty of any kind. 1780811828 is maintained by the National Plan & Provider Enumeration System. The contents of Zimmerman Family Dentistry are for informational purposes only.