Individual
DR. DAVID H HALLIWELL III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS DENTIST
Contact information
Practice address
314 SOUTH 25TH AVENUE, HATTIESBURG, MS 39401-7399
(601) 545-8615
(601) 343-8616
Mailing address
314 SOUTH 25TH AVENUE, HATTIESBURG, MS 39401-7399
(601) 545-8615
(601) 545-8616
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
180078
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
735590
UNITED CONCORDIA INSURANCE COMPANY
PA
Enumeration date
06/27/2007
Last updated
04/23/2008
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