Individual
DR. EDGAR D. BARHAM JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
3550 HIGHWAY 468 W, PEARL, MS 39208-5529
(601) 351-8000
(601) 351-8301
Mailing address
PO BOX 157A, WHITFIELD, MS 39193-0157
(601) 351-8000
(601) 351-8301
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2778-95
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04400322
—
MS
Enumeration date
07/01/2006
Last updated
07/08/2007
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