Individual
DR. WILLIAM TOLER BUCHANAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2500 N STATE ST, SCHOOL OF DENTISTRY, ROOM D501, JACKSON, MS 39216-4500
(601) 984-6015
(601) 984-6014
Mailing address
2500 N STATE ST, SCHOOL OF DENTISTRY, ROOM D501, JACKSON, MS 39216-4500
(601) 984-6015
(601) 984-6014
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3028-97
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
660292
—
MS
Enumeration date
09/25/2006
Last updated
07/08/2007
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