Organization
WARE FAMILY DENTAL OF MISSISSIPPI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ADRIENNE S WARE DDS (OWNER)
(601) 947-9530
Entity
Organization
Contact information
Practice address
13 PLAZA DR, LUCEDALE, MS 39452-6095
(601) 947-9530
(601) 947-9595
Mailing address
13 PLAZA DR, LUCEDALE, MS 39452-6095
(601) 947-9530
(601) 947-9595
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00273591
—
MS
Enumeration date
11/02/2022
Last updated
04/12/2023
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