Individual
DR. LARRY C BREEDING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
UNIVERSITY OF MISSISSIPPI SCHOOL OF DENTISTRY, 2500 NORTH STATE STREET, JACKSON, MS 39216-4505
(601) 984-6030
(601) 984-6039
Mailing address
UNIVERSITY OF MISSISSIPPI SCHOOL OF DENTISTRY, 2500 NORTH STATE STREET, JACKSON, MS 39216-4505
(601) 984-6030
(601) 984-6039
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
3077-98
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
660284
—
MS
Enumeration date
09/21/2006
Last updated
07/09/2007
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