Individual
DR. KATIE SEVELDA BEARDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
221 GAY ST, BATESVILLE, MS 38606-1903
(662) 563-5040
(662) 563-5018
Mailing address
PO BOX 1583, BATESVILLE, MS 38606-4083
(662) 563-5040
(662) 563-5018
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2655-91
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00060448
—
MS
Enumeration date
09/21/2006
Last updated
07/08/2007
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