Individual
DR. EDWARD LEON GAUDET SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
407 FRANKLIN STREET, NATCHEZ, MS 39121
(601) 442-5476
(601) 442-5477
Mailing address
PO BOX 1143, 407 FRANKLIN STREET, NATCHEZ, MS 39121
(601) 442-5476
(601) 442-5477
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
129267
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00060965
—
MS
Enumeration date
08/26/2006
Last updated
06/14/2012
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