Individual
DENESSA V POTTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1668 W PEACE ST, CANTON, MS 39046-5332
(601) 859-5213
(601) 859-9477
Mailing address
1668 W PEACE ST, CANTON, MS 39046-5332
(601) 859-5213
(601) 859-9477
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3314-04
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03588521
—
MS
Enumeration date
10/16/2006
Last updated
04/08/2019
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