Individual
ERICA MATHIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
7271 GOODMAN RD, OLIVE BRANCH, MS 38654-1906
(662) 895-4737
Mailing address
1903 BRENTWOOD DR, MOUNTAIN HOME, AR 72653-4277
(870) 656-6067
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
111184
MS
Other
Enumeration date
06/05/2025
Last updated
06/05/2025
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