Organization
NORTH MISSISSIPPI PERIODONTICS & IMPLANT DENTISTRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES MICHAEL ROBERTSON DMD (PRESIDENT)
(662) 842-2448
Entity
Organization
Contact information
Practice address
103 PARK GATE EXT, TUPELO, MS 38801-3038
(662) 842-2448
(662) 842-8374
Mailing address
103 PARK GATE EXT, TUPELO, MS 38801-3038
(662) 842-2448
(662) 842-8374
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
2571-90
MS
Other
Enumeration date
08/08/2013
Last updated
08/08/2013
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