Individual
DR. PHILIP ADAM MIDDLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
101 RIDGEWOOD CIR, KOSCIUSKO, MS 39090-3265
(662) 289-7076
(662) 289-7050
Mailing address
1302 E SOUTH ST, KOSCIUSKO, MS 39090-4734
(662) 231-6911
(662) 289-7050
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
347008
MS
Other
Enumeration date
06/24/2008
Last updated
01/03/2011
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