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Individual

DR. TAMMI TAYLOR LOCKHART

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.M.D.

Contact information

Practice address
100 BRANDON ROAD, SUITE W, STARKVILLE, MS 39759
(662) 323-9726
(662) 323-9727
Mailing address
100 BRANDON ROAD, SUITE W, STARKVILLE, MS 39759
(662) 323-9726
(662) 323-9727

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
3016-97
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000660245
MS
05
00660245
MS
Enumeration date
09/25/2006
Last updated
07/27/2023
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