Organization
CARLTON FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN BALLEW CARLTON D.M.D. (GENERAL DENTIST)
(601) 653-0003
Entity
Organization
Contact information
Practice address
323 HIGHLAND BLVD, NATCHEZ, MS 39120-4635
(601) 653-0003
Mailing address
323 HIGHLAND BLVD, NATCHEZ, MS 39120-4635
(601) 653-0003
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3503-09
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06250340
—
MS
Enumeration date
02/10/2011
Last updated
11/30/2015
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