Individual
JOHN NEIL MCINTYRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
505 COWAN ROAD, GULFPORT, MS 39507
(228) 539-5410
(228) 539-0265
Mailing address
505 COWAN ROAD, GULFPORT, MS 39507
(228) 539-5410
(228) 539-0265
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3097-99
MS
Other
Enumeration date
10/20/2006
Last updated
06/04/2015
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