Individual
DR. JAMES R PHILLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2117 COMMERCE ST, GRENADA, MS 38901-5400
(662) 226-6014
(662) 226-9986
Mailing address
2117 COMMERCE ST, GRENADA, MS 38901-5400
(662) 226-6014
(662) 226-9986
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1896-80
MS
Other
Enumeration date
03/29/2007
Last updated
07/08/2007
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