Individual
DR. SAMUEL MIMS MORRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2155 S LAMAR BLVD, OXFORD, MS 38655-5223
(662) 234-5222
Mailing address
2155 S LAMAR BLVD, OXFORD, MS 38655-5223
(662) 234-5222
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4290-22
MS
1223G0001X
General Practice Dentistry
4290-22
MS
Other
Enumeration date
06/13/2022
Last updated
10/07/2024
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