Individual
DR. CAROLL D PIERCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
503 MAIN STREET, MT OLIVE, MS 39119
(601) 797-3466
(601) 797-3467
Mailing address
PO BOX 380, 503 MAIN STREET, MT OLIVE, MS 39119
(601) 797-3466
(601) 797-3467
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
209784
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00060076
—
MS
Enumeration date
01/22/2007
Last updated
07/08/2007
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