Organization
JAMES G. GRAVES, D.M.D., P.L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES GREGORY GRAVES D.M.D. (OWNER)
(662) 562-9484
Entity
Organization
Contact information
Practice address
522 W MAIN ST, SENATOBIA, MS 38668-2657
(662) 562-9484
(662) 301-8222
Mailing address
522 W MAIN ST, SENATOBIA, MS 38668-2657
(662) 562-9484
(662) 301-8222
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2275-86
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00060223
—
MS
Enumeration date
12/20/2010
Last updated
12/20/2010
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