Organization
GULF COAST DENTAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROY L IRONS D.D.S. (OWNER)
(228) 863-6413
Entity
Organization
Contact information
Practice address
3118 15TH ST, GULFPORT, MS 39501-2708
(228) 863-6413
(228) 863-6432
Mailing address
3118 15TH ST, GULFPORT, MS 39501-2708
(228) 863-6413
(228) 863-6432
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
MS 1781-77
MS
Other
Enumeration date
06/06/2007
Last updated
08/22/2020
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