Individual
AUSTIN TROY DILLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
990 EBENEZER BLVD, MADISON, MS 39110-6002
(601) 898-3000
Mailing address
990 EBENEZER BLVD, MADISON, MS 39110-6002
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4380-23
MS
Other
Enumeration date
06/12/2023
Last updated
06/12/2023
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