Organization
STEVEN K MINER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVE KENNARD MINER DMD (OWNER)
(228) 424-0145
Entity
Organization
Contact information
Practice address
10409 BONEY AVE, DIBERVILLE, MS 39540-4813
(228) 424-0145
Mailing address
106 HALSTEAD RD, OCEAN SPRINGS, MS 39564-5315
(228) 424-0145
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
202583
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0064394
—
MS
Enumeration date
08/27/2015
Last updated
08/27/2015
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