Individual
DR. VIVIAN DRAPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S., M.P.H.
Contact information
Practice address
60024 OLIVE ST, SMITHVILLE, MS 38870-9719
(662) 651-7111
(662) 651-7115
Mailing address
PO BOX 2827, TUPELO, MS 38803-2827
(662) 840-0584
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3166-00
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00660401
—
MS
Enumeration date
08/31/2006
Last updated
12/14/2015
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