Individual
WILL UMPHLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
22 EASTGATE DR, BRANDON, MS 39042
(601) 825-1105
(601) 825-1984
Mailing address
22 EASTGATE DR, BRANDON, MS 39042-2318
(601) 825-1105
(601) 825-1984
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3854-16
MS
Other
Enumeration date
07/07/2016
Last updated
07/07/2016
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