Organization
ROBERT E. MADDUX DDS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT E. MADDUX JR. DDS (PRESIDENT)
(662) 429-6736
Entity
Organization
Contact information
Practice address
2264 MCINGVALE RD, HERNANDO, MS 38632-8710
(662) 429-6736
Mailing address
2264 MCINGVALE ROAD, HERNANDO, MS 38632
(662) 429-6736
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
270592
MS
Other
Enumeration date
10/01/2008
Last updated
10/01/2008
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