Organization
BIG RIVER DENTAL PLLC
Active
Other names
Magnolia Dental PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM PERCY DICKEY III DMD (OWNER/PARTNER)
(601) 597-3490
Entity
Organization
Contact information
Practice address
103 CHRISTIAN DR, BRANDON, MS 39042-2762
(601) 825-1172
(601) 825-1185
Mailing address
103 CHRISTIAN DR, BRANDON, MS 39042-2762
(601) 825-1172
(601) 825-1185
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3125-00
MS
Other
Enumeration date
01/21/2017
Last updated
01/21/2017
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