Individual
DR. ROBERT BURDETTE SEYMOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
460 BYHALIA RD, HERNANDO, MS 38632-1319
(662) 429-5239
(662) 449-0758
Mailing address
460 BYHALIA RD, HERNANDO, MS 38632-1319
(662) 429-5239
(662) 449-0758
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1472-71
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
113895
UNITED CONCORDIA
MS
01
—
72340
BLUE CROSS BLUE SHIELD
MS
Enumeration date
03/06/2007
Last updated
07/08/2007
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