Individual
DR. BARNEY LEE PULLEN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
117 WOOD ST, WATER VALLEY, MS 38965
(662) 473-2296
(662) 473-2313
Mailing address
117 WOOD ST, WATER VALLEY, MS 38965
(662) 473-2296
(662) 473-2313
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2836-94
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00660075
—
MS
Enumeration date
12/12/2006
Last updated
07/09/2007
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