Individual
DR. ADRIENNE SMITH WARE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
13 PLAZA DR, LUCEDALE, MS 39452-6095
(601) 947-9530
(601) 947-9595
Mailing address
2525 TIMBER LN, LUCEDALE, MS 39452-5046
(985) 249-8337
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4015-18
MS
1223G0001X
General Practice Dentistry
4015-18
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1598472102
GROUP NPI
MS
Enumeration date
07/17/2018
Last updated
02/06/2025
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