Organization
MATHIS DENTAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN THOMAS MATHIS DMD (OWNER)
(662) 823-7900
Entity
Organization
Contact information
Practice address
1013 W JACKSON ST, TUPELO, MS 38804-1907
(662) 823-7900
Mailing address
1013 W JACKSON ST, TUPELO, MS 38804-1907
(662) 823-7900
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
04/03/2023
Last updated
04/03/2023
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