Organization
WILLIAM E MIDDLETON JR DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM E MIDDLETON JR. DDS PA (PRESIDENT)
(662) 342-6530
Entity
Organization
Contact information
Practice address
3011 GOODMAN ROAD W, HORN LAKE, MS 38637
(662) 342-6530
(662) 342-9098
Mailing address
3011 GOODMAN ROAD W, HORN LAKE, MS 38637
(662) 342-6530
(662) 342-9098
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
259290
MS
Other
Enumeration date
11/27/2006
Last updated
07/22/2008
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