Organization
PEDIATRIC DENTISTRY OF CORINTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID KENNON CURTIS SR. D.M.D. (PRESIDENT)
(662) 327-0995
Entity
Organization
Contact information
Practice address
1500 N HARPER RD #5, PEDIATRIC DENTISTRY OF CORINTH, CORINTH, MS 38834
(662) 872-3031
(662) 510-0190
Mailing address
1500 N HARPER RD #5, PEDIATRIC DENTISTRY OF CORINTH, CORINTH, MS 38834
(662) 872-3031
(662) 510-0190
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
2264-86
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05705209
—
MS
Enumeration date
12/19/2017
Last updated
12/19/2017
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