Individual
PEYTON BURKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
4358 LINCOLN ROAD EXT, HATTIESBURG, MS 39402-3275
(601) 271-8710
Mailing address
1020 WHITSETT WALK, JACKSON, MS 39206-6158
(601) 344-7677
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4378-23
MS
Other
Enumeration date
06/13/2023
Last updated
06/13/2023
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