Organization
CHARIS FAMILY DENTISTRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CASSY SMITH SIMPSON DMD (OWNER)
(601) 442-5476
Entity
Organization
Contact information
Practice address
407 FRANKLIN ST, NATCHEZ, MS 39120-3263
(601) 442-5476
(601) 442-5477
Mailing address
407 FRANKLIN ST, NATCHEZ, MS 39120-3263
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
MS3519-09
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04383027
—
MS
Enumeration date
05/05/2015
Last updated
05/05/2015
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