Organization
UNION DENTISTRY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TINA NICOLE HARRISON D.M.D. (OWNERDENTIST)
(601) 774-9949
Entity
Organization
Contact information
Practice address
25043 HIGHWAY 15, UNION, MS 39365-8577
(601) 774-9949
(601) 774-9955
Mailing address
25043 HIGHWAY 15, P.O. BOX 276, UNION, MS 39365-8577
(601) 774-9949
(601) 774-9955
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3001-97
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00660263
—
MS
Enumeration date
12/21/2006
Last updated
08/22/2020
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