Individual
DR. THOMAS RAYMOND BYRD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
129 EARL CLARK DR., FLORENCE, MS 39073
(601) 845-2386
(601) 845-1470
Mailing address
PO BOX 97632, JACKSON, MS 39288-7632
(601) 845-2386
(601) 845-1470
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2401
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00660274
—
MS
Enumeration date
12/19/2006
Last updated
07/09/2007
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