Individual
DR. MICHAEL DEAN WEEMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
399 PORTER AVE, OCEAN SPRINGS, MS 39564-3713
(228) 875-8657
(228) 818-0013
Mailing address
PO BOX 1588, OCEAN SPRINGS, MS 39566-1588
(228) 875-8657
(228) 818-0013
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2845-94
MS
124Q00000X
Dental Hygienist
2845-94
MS
Other
Enumeration date
09/05/2006
Last updated
04/11/2011
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