Organization
PINE BELT SLEEP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES STRONG HENDERSON IV D.M.D. (OWNER)
(601) 264-5756
Entity
Organization
Contact information
Practice address
6654 U S HIGHWAY 98, HATTIESBURG, MS 39402-7936
(601) 264-5756
Mailing address
6654 U S HIGHWAY 98, HATTIESBURG, MS 39402-7936
(601) 264-5756
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
335305
MS
Other
Enumeration date
08/19/2016
Last updated
08/19/2016
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