Individual
DR. ANGELA NEELY OVERSTREET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
600 4TH ST SW, MAGEE, MS 39111-3929
(601) 849-3636
(601) 849-2644
Mailing address
PO BOX 954, MAGEE, MS 39111-0954
(601) 849-3636
(601) 849-2644
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3171-01
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00660389
—
MS
Enumeration date
01/20/2007
Last updated
07/09/2007
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