Individual
DR. CHARLES HAYDEN PERKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2408 S. LAMAR BLVD., SUITE 1, OXFORD, MS 38655
(662) 513-4188
(662) 513-4180
Mailing address
2408 S. LAMAR BLVD., SUITE 1, OXFORD, MS 38655
(662) 513-4188
(662) 513-4180
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
3306-04
MS
1223P0221X
Pediatric Dentistry
Primary
PEDO-397-06
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07409833
—
MS
05
—
09870248
—
MS
Enumeration date
06/14/2006
Last updated
07/31/2013
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