Organization
CHICKASAW DENTAL GROUP L. L. C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TEENA FREEMAN HORN DMD (DENTIST OWNER)
(662) 456-9992
Entity
Organization
Contact information
Practice address
327 N JACKSON ST, HOUSTON, MS 38851
(662) 456-9992
(662) 456-9093
Mailing address
PO BOX 604, HOUSTON, MS 38851
(662) 456-9992
(662) 456-9093
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09016032
—
MS
Enumeration date
10/02/2006
Last updated
12/06/2010
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