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Individual

DR. JOHN FREDERIC FIELDS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
2001 OLD ABERDEEN RD, COLUMBUS, MS 39705-1913
(662) 329-2500
Mailing address
2001 OLD ABERDEEN RD, COLUMBUS, MS 39705-1913
(662) 329-2500

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2720-93
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00660178
MS
Enumeration date
03/26/2007
Last updated
04/25/2017
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