Organization
PENLEY FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ADRIENNE L PENLEY D.M.D. (PRESIDENT)
(601) 749-9330
Entity
Organization
Contact information
Practice address
6480 HIGHWAY 11 N, CARRIERE, MS 39426-8143
(601) 749-9330
(601) 749-9449
Mailing address
6480 HIGHWAY 11 N, CARRIERE, MS 39426-8143
(601) 749-9330
(601) 749-9449
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3550-10
MS
Other
Enumeration date
03/10/2014
Last updated
03/10/2014
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