Individual
JOHN DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7100 HIGHWAY 98, SUITE 210, HATTIESBURG, MS 39402-8601
(601) 255-4546
Mailing address
7100 HIGHWAY 98, SUITE 210, HATTIESBURG, MS 39402-8601
(601) 255-4546
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1828-79
MS
Other
Enumeration date
09/14/2017
Last updated
07/21/2022
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