Organization
LOUIE V. HARRISON, III DMD PLLC
Active
Other names
Louie V Harrison III DMD PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LOUIE VARDIMAN HARRISON III DMD (OWNER)
(662) 283-4722
Entity
Organization
Contact information
Practice address
412 TYLER HOLMES DR, WINONA, MS 38967-1522
(662) 283-4722
(662) 283-2588
Mailing address
PO BOX 761, WINONA, MS 38967-0761
(662) 283-4722
(662) 283-2588
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2278-86
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00060241
—
MS
01
—
2278-86
DENTAL LICENSE #
MS
Enumeration date
11/16/2006
Last updated
06/17/2008
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