Individual
DR. PIA CHATTERJEE KIRK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2500 NORTH STATE STREET, UNIVERSITY OF MISSISSIPPI SCHOOL OF DENTISTRY, JACKSON, MS 39216
(601) 984-6030
(601) 984-6039
Mailing address
119 BEAUFORT CIRCLE, MADISON, MS 39110
(601) 984-6030
(601) 984-6039
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
20344
TX
1223G0001X
General Practice Dentistry
Primary
3175-01
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00660414
—
MS
Enumeration date
12/08/2006
Last updated
08/03/2022
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