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Individual

DR. HAROLD MARK LIVINGSTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
2500 N STATE ST, UNIVERSITY OF MISSISSIPPI SCHOOL OF DENTISTRY, JACKSON, MS 39216-4500
(601) 984-6028
(601) 984-6039
Mailing address
2500 N STATE ST, UNIVERSITY OF MISSISSIPPI SCHOOL OF DENTISTRY, JACKSON, MS 39216-4500
(601) 984-6028
(601) 984-6039

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2622-91
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0660308
MS
Enumeration date
05/23/2007
Last updated
07/08/2007
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