Individual
DR. THERESA L SKELTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD,MS
Contact information
Practice address
1540 S MAIN ST STE B, GREENVILLE, MS 38701-7055
(662) 332-4902
(662) 332-4994
Mailing address
1540 S MAIN ST STE B, GREENVILLE, MS 38701-7055
(662) 332-4902
(662) 332-4994
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
OR37003
MS
Other
Enumeration date
01/22/2007
Last updated
07/08/2007
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