Organization
NORTH MISSISSIPPI DENTAL SPECIALISTS, PLLC
Active
Other names
the children's dental center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLYDE ARMSTRONG MUSGRAVE D.M.D. (PEDIATRIC DENTIST)
(662) 893-7337
Entity
Organization
Contact information
Practice address
2925 NAIL RD E STE 103, SOUTHAVEN, MS 38672-6715
(662) 893-7337
(662) 893-7881
Mailing address
2925 NAIL RD E STE 103, SOUTHAVEN, MS 38672-6715
(662) 893-7337
(662) 893-7881
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
3136-00
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09016069
—
MS
Enumeration date
10/04/2006
Last updated
05/23/2022
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