Organization
NEWTON FAMILY DENTAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN B HARRISON D.M.D. (DENTIST)
(601) 683-6567
Entity
Organization
Contact information
Practice address
211 S MAIN ST, NEWTON, MS 39345-2612
(601) 683-6567
(601) 683-7555
Mailing address
211 S MAIN ST, NEWTON, MS 39345-2612
(601) 683-6567
(601) 683-7555
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
2179-85
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03029511
—
MS
Enumeration date
04/21/2008
Last updated
04/21/2008
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