Organization
MARQUIS DENTAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE J MARQUIS (PRESIDENT)
(662) 862-7434
Entity
Organization
Contact information
Practice address
6 MEDICAL PARK DR., FULTON, MS 38843
(662) 862-7434
Mailing address
PO BOX 429, FULTON, MS 38843-0429
(662) 862-7434
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
1910-80
MS
122300000X
Dentist
1984-82
MS
1223D0001X
Public Health Dentistry
1910-80
MS
1223D0001X
Public Health Dentistry
1984-82
MS
1223G0001X
General Practice Dentistry
1980-80
MS
1223G0001X
General Practice Dentistry
Primary
1984-82
MS
Other
Enumeration date
02/28/2007
Last updated
09/11/2025
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