Organization
MID SOUTH ENDODONTICS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL PATRICK LOWERY DMD (MEMBER)
(662) 890-3196
Entity
Organization
Contact information
Practice address
1918 EXETER RD UNIT 1, GERMANTOWN, TN 38138-2970
(662) 890-3196
(662) 890-3197
Mailing address
5740 GETWELL RD STE A, SOUTHAVEN, MS 38672-6346
(662) 890-3196
(662) 890-3197
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
Other
Enumeration date
02/27/2019
Last updated
02/27/2019
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