Individual
DR. EUSTACE HAROLD WINN III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1391 E REED RD, GREENVILLE, MS 38703-7234
(662) 332-9011
Mailing address
1289 KIRK CIR, GREENVILLE, MS 38701-6316
(662) 378-9165
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2893-95
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00660177
—
MS
Enumeration date
10/03/2006
Last updated
07/08/2007
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