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Organization
FERRELL FORT DDS PA
Active
Organization
FERRELL FORT DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LINDA KIDD (OFFICE MANAGER)
(601) 485-2494
Entity
Organization
Contact information
Practice address
1903 23RD AVE, MERIDIAN, MS 39301-3108
(601) 485-2494
Mailing address
1903 23RD AVE, MERIDIAN, MS 39301-3108
(601) 485-2494
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
NULL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
10/07/2015
Last updated
10/07/2015
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