Organization
LIFETIME DENTAL PLLC
Active
Other names
Johnson Dental Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HAMILTON M BROWN DMD (PARTNER)
(662) 843-8353
Entity
Organization
Contact information
Practice address
1313 W HIGHWAY 8, CLEVELAND, MS 38732-2240
(662) 843-8353
(662) 843-8363
Mailing address
1313 W HIGHWAY 8, CLEVELAND, MS 38732-2240
(662) 843-8353
(662) 843-8363
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2826-94
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09015931
—
MS
Enumeration date
06/25/2008
Last updated
11/23/2022
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