Individual
DR. ROBERT NIXON PROSPERE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
710 N PEARL ST, NATCHEZ, MS 39120-2359
(601) 442-4318
(601) 445-9871
Mailing address
710 N PEARL ST, NATCHEZ, MS 39120-2359
(601) 442-4318
(601) 445-9871
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1729 76
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00660378
—
MS
01
—
1729 76
MS DENTAL LICENSE NUMBER
MS
Enumeration date
05/18/2007
Last updated
07/09/2007
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