Individual
DR. NATHANIEL D DENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
7734 AIRWAYS BLVD, SOUTHAVEN, MS 38671-5306
(662) 349-3838
Mailing address
2154 GOODMAN RD W, HORN LAKE, MS 38637-1303
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
3684-13
MS
1223P0221X
Pediatric Dentistry
DS0000010429
TN
Other
Enumeration date
06/20/2012
Last updated
03/17/2018
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