Individual
DR. THOMAS GRAFTON TEETS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2628 EXECUTIVE PL, SUITE C, BILOXI, MS 39531-3717
(228) 388-7844
(228) 388-7836
Mailing address
2628 EXECUTIVE PL, SUITE C, BILOXI, MS 39531-3717
(228) 388-7844
(228) 388-7836
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2984-97
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
720581
UNITED CONCORDIA
—
Enumeration date
10/17/2006
Last updated
02/17/2016
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