Individual
DR. MICHAEL HAROLD SHIELDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
4218 CASTENERA AVE, MOSS POINT, MS 39563-2719
(228) 475-5854
(228) 475-0287
Mailing address
4218 CASTENERA AVE, MOSS POINT, MS 39563-2719
(228) 475-5854
(228) 475-0287
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2033-83
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00060001
—
MS
Enumeration date
04/05/2007
Last updated
04/24/2012
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