Individual
CONNOR JAMES DENISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
201 INDEPENDENCE, COLUMBUS, MS 39710-5300
(662) 434-2273
Mailing address
201 INDEPENDENCE, COLUMBUS, MS 39710-5250
(662) 434-2273
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DS0000011064
TN
1223G0001X
General Practice Dentistry
Primary
APPLYING
TN
Other
Enumeration date
05/21/2019
Last updated
12/11/2020
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