Individual
DR. REBECCA SMITH MCDOUGALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1906 N GLOSTER ST, TUPELO, MS 38804-1220
(662) 844-6420
(662) 844-6421
Mailing address
1906 N GLOSTER ST, TUPELO, MS 38804-1220
(662) 844-6420
(662) 844-6421
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
2634-91
MS
Other
Enumeration date
08/01/2006
Last updated
07/08/2007
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