Organization
URGENT CARE DENTAL CENTER P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STACY JOYCE FRIEND (OFFICE MANAGER)
(601) 583-4004
Entity
Organization
Contact information
Practice address
2104 HARDY ST, HATTISBURG, MS 39401
(601) 583-4004
(501) 583-4005
Mailing address
P.O. BOX 15068, HATTIESBURG, MS 39404-5068
(601) 583-4004
(601) 583-4005
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2366-87
MS
Other
Enumeration date
01/12/2007
Last updated
11/08/2012
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