Individual
JOHN DALE DUMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
617 DELAWARE AVE, MCCOMB, MS 39648-4024
(601) 684-0550
(601) 684-3678
Mailing address
617 DELAWARE AVE, MCCOMB, MS 39648-4024
(601) 684-0550
(601) 684-3678
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2995-97
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00660358
—
MS
Enumeration date
08/31/2006
Last updated
07/08/2007
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