Organization
JAMES D. NEAVES DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES DAVID NEAVES (OWNER)
(662) 289-2771
Entity
Organization
Contact information
Practice address
207 N HUNTINGTON ST, KOSCIUSKO, MS 39090-3351
(662) 289-2771
(662) 289-2771
Mailing address
207 N HUNTINGTON ST, KOSCIUSKO, MS 39090-3351
(662) 289-2771
(662) 289-2771
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1465-71
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00061903
—
MS
Enumeration date
01/15/2007
Last updated
11/27/2012
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