Organization
W. A. THAMES, DMD
Active
Other names
thames family dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WALTER A THAMES JR. DMD (OWNER)
(662) 963-7338
Entity
Organization
Contact information
Practice address
228 MAIN STREET, BOX 388, NETTLETON, MS 38858
(662) 963-7338
(662) 963-7339
Mailing address
228 MAIN STREET, BOX 388, NETTLETON, MS 38858
(662) 963-7338
(662) 963-7339
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2204-85
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00060277
—
MS
Enumeration date
01/07/2009
Last updated
01/07/2009
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