Organization
CARROLL COUNTY GENERAL DENTISTRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD D HILL DMD (OWNER)
(601) 408-7780
Entity
Organization
Contact information
Practice address
613 LEXINGTON STREET, CARROLLTON, MS 38917
(662) 237-4646
(662) 237-4647
Mailing address
PO BOX 35, CARROLLTON, MS 38917-0035
(662) 237-4646
(662) 237-4647
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2730-93
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08405535
—
MS
Enumeration date
02/15/2012
Last updated
09/04/2014
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