Organization
GENE BAINES, D.M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GENE M BAINES D.M.D. (OWNER)
(662) 455-3192
Entity
Organization
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
09/24/2012
Last updated
09/24/2012
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