Organization
GOLDEN TRIANGLE PERIODONTAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN W STARR JR. DMD (PERIODONTIST)
(662) 329-2696
Entity
Organization
Contact information
Practice address
2900 BLUECUTT RD, SUITE 3, COLUMBUS, MS 39705-1470
(662) 329-2696
Mailing address
2900 BLUECUTT RD, SUITE 3, COLUMBUS, MS 39705-1470
(662) 329-2696
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
PER154-88
MS
Other
Enumeration date
03/01/2007
Last updated
08/22/2020
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