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Individual

DR. ANDREW SCOTT MIDDLETON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
6643 HWY. 98, HATTIESBURG, MS 39402
(601) 450-6060
(601) 450-6062
Mailing address
6643 HWY. 98, HATTIESBURG, MS 39402
(601) 450-6060
(601) 450-6062

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
3044-98
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
721564599
TAX ID
MS
Enumeration date
10/05/2006
Last updated
08/11/2010
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