Individual
DR. WILLIAM THOMAS NEELY III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
560 HIGHWAY 6 E, EAST OAKS SHOPPING CENTER, BATESVILLE, MS 38606-3002
(662) 561-1045
(662) 561-1181
Mailing address
PO BOX 13409, JACKSON, MS 39236-3409
(662) 561-1045
(601) 829-3108
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
265091
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00660095
—
MS
Enumeration date
08/09/2006
Last updated
01/26/2009
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