Individual
WILLIAM P. EASTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
100 BRANDON RD STE E, STARKVILLE, MS 39759-2571
(662) 323-8065
(662) 323-8066
Mailing address
100 BRANDON RD STE E, STARKVILLE, MS 39759-2571
(662) 323-8065
(662) 323-8066
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
1477-72
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02581532
—
MS
05
—
06231232
—
MS
Enumeration date
04/25/2007
Last updated
07/09/2007
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