Individual
DR. LEMONT TERRANCE NORRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1713 CLAY ST, STE 5, VICKSBURG, MS 39183-3048
(601) 638-7007
(601) 638-0760
Mailing address
1713 CLAY ST, STE 5, VICKSBURG, MS 39183-3048
(601) 638-7007
(601) 638-0760
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2864-95
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00660173
—
MS
01
—
818510
UNITED CONCORDIA
MS
Enumeration date
03/24/2007
Last updated
07/08/2007
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