Organization
CORINTH DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CAROL J HUTCHESON (INSURANCE COORDINATOR)
(662) 287-9500
Entity
Organization
Contact information
Practice address
407 CRUISE ST, CORINTH, MS 38834-4742
(662) 287-9500
(662) 287-9596
Mailing address
407 CRUISE ST, CORINTH, MS 38834-4742
(662) 287-9500
(662) 287-9596
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00660170
—
MS
05
—
04958005
—
MS
Enumeration date
05/30/2024
Last updated
05/30/2024
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