Organization
DR SCOTT DICKINSON D.M. D. PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT C DICKINSON DMD (OWNER)
(315) 454-6000
Entity
Organization
Contact information
Practice address
3999 N GLOSTER STREET, TUPELO, MS 38804
(315) 454-6000
Mailing address
281 SANDERS CREEK PKWY, EAST SYRACUSE, NY 13057-1307
(315) 454-6000
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3846-16
MS
Other
Enumeration date
10/12/2016
Last updated
10/12/2016
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