Individual
NICHOLAS JOHN DENNERY II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
1488 HWY 487, SEBASTOPOL, MS 39359-0150
(601) 625-7403
(601) 625-7404
Mailing address
PO BOX 150, SEBASTOPOL, MS 39359-0150
(601) 625-7403
(601) 625-7404
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3633-12
MS
Other
Enumeration date
07/16/2012
Last updated
07/16/2012
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