Individual
DR. JAMES GREGORY GRAVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
522 W MAIN ST, SENATOBIA, MS 38668-2657
(662) 562-9484
(662) 562-5618
Mailing address
522 W MAIN ST, SENATOBIA, MS 38668-2657
(662) 562-9484
(662) 562-5618
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2275-86
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00060223
—
MS
Enumeration date
08/11/2006
Last updated
07/09/2007
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