Individual
DR. STEPHEN H. BLAIR III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3127 N. SHILOH ROAD, CORINTH, MS 38834-2910
(662) 287-3373
(662) 287-3372
Mailing address
3127 NORTH SHILOH ROAD, CORINTH, MS 38834-2910
(662) 287-3373
(662) 287-3372
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2331-87
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00060307
—
MS
Enumeration date
10/10/2006
Last updated
10/15/2015
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