Organization
GARNER NICHOLS DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATTY B TOUPS (ADMINISTRATOR)
(601) 271-7300
Entity
Organization
Contact information
Practice address
4127 LINCOLN ROAD, HATTIESBURG, MS 39402
(012) 717-3006
Mailing address
4127 LINCOLN ROAD, HATTIESBURG, MS 39402
(601) 271-7300
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04436509
—
MS
Enumeration date
09/09/2014
Last updated
03/19/2024
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