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Organization

PARKER DENTAL & ORTHODONTICS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. HUBERT H PARKER IV DMD (OWNER)
(228) 283-5022
Entity
Organization

Contact information

Practice address
PO BOX BOX 5786, VANCLEAVE, MS 39565-5786
(228) 283-5022
(228) 283-5017
Mailing address
11628 HIGHWAY 57, PO BOX 5786, VANCLEAVE, MS 39565-8231
(228) 283-5022
(228) 283-5017

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2744
MS

Other

Enumeration date
03/21/2014
Last updated
03/21/2014
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