Organization
JOHN A. COLLIER,, D.D.S., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN ALEX COLLIER D.D.S. (OWNER)
(662) 236-1969
Entity
Organization
Contact information
Practice address
2162 S LAMAR BLVD, OXFORD, MS 38655-5224
(662) 236-1969
(662) 513-5878
Mailing address
2162 S LAMAR BLVD, OXFORD, MS 38655-5224
(662) 236-1969
(662) 513-5878
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2869-95
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00660152
—
MS
Enumeration date
02/03/2012
Last updated
02/03/2012
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