Organization
NORTH MISSISSIPPI PRIMARY HEALTH CARE, INC.
Active
Other names
BENTON DENTAL CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY G CHAPMAN (CFO)
(662) 502-3137
Entity
Organization
Contact information
Practice address
15921 BOUNDARY DR, ASHLAND, MS 38603-7740
(662) 224-8951
(662) 224-6801
Mailing address
PO BOX 92, ASHLAND, MS 38603-0092
(662) 502-3137
(662) 224-6801
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/18/2022
Last updated
04/18/2022
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