Organization
PONTOTOC FAMILY DENTAL PLLC
Active
Other names
Collier Dental
Organization subpart
No
Provider details
NPI number
Authorized official
PATTY TOUPS (CEO)
(601) 271-8710
Entity
Organization
Contact information
Practice address
29 MAGGIE DR, PONTOTOC, MS 38863-9600
(662) 488-9905
Mailing address
4358 LINCOLN ROAD EXT STE 20, HATTIESBURG, MS 39402-3275
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/13/2017
Last updated
06/16/2018
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