Individual
DR. GENE MARK BAINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
509 HIGHWAY 82 W, GREENWOOD, MS 38930-5053
(662) 455-3192
(662) 455-3170
Mailing address
509 HIGHWAY 82 W, GREENWOOD, MS 38930-5053
(662) 455-3192
(662) 455-3170
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
MS1905-80
MS
Other
Enumeration date
05/24/2005
Last updated
08/30/2012
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