Organization
GREGGORY E. THARP DMD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM H. DAVIS (MEDICAL BILLER)
(601) 939-4100
Entity
Organization
Contact information
Practice address
2695 FLOWOOD DRIVE, FLOWOOD, MS 39232
(601) 939-4100
(601) 939-4081
Mailing address
2695 FLOWOOD DRIVE, FLOWOOD, MS 39232
(601) 939-4100
(601) 939-4081
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
331104
MS
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
02/08/2008
Last updated
11/06/2020
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