Organization
JOSEPH K SHLEWEET DDS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH K. SHLEWEET D.D.S. (DENTIST)
(662) 627-3633
Entity
Organization
Contact information
Practice address
526 S CHOCTAW ST STE B&C, CLARKSDALE, MS 38614-4807
(662) 627-3633
(662) 627-5655
Mailing address
526 S CHOCTAW ST STE B&C, CLARKSDALE, MS 38614-4807
(662) 627-3633
(662) 627-5655
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
3359-05
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07587317
—
MS
Enumeration date
04/17/2012
Last updated
05/02/2012
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