Organization
WA THAMES DMD PLLC
Active
Other names
Thames Family Dentistry PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANI PAIGE HAWKINS (OFFICE ADMINISTRATOR)
(662) 895-7338
Entity
Organization
Contact information
Practice address
9035 E SANDIDGE RD, SUITE 100, OLIVE BRANCH, MS 38654-3520
(662) 895-7338
(662) 895-7040
Mailing address
9035 E SANDIDGE RD, SUITE 100, OLIVE BRANCH, MS 38654-3520
(662) 895-7338
(662) 895-7040
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2182 85
MS
Other
Enumeration date
05/08/2007
Last updated
05/03/2012
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