Organization
BRETT ALAN VALENTINE D.M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRETT A. VALENTINE D.M.D. (OWNER)
(601) 758-0150
Entity
Organization
Contact information
Practice address
4864-B HWY 589, SUMRALL, MS 39482
(601) 758-0150
(601) 758-0149
Mailing address
4864-B HWY 589, SUMRALL, MS 39482
(601) 758-0150
(601) 758-0149
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2752-93
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09015268
—
MS
Enumeration date
03/18/2008
Last updated
07/01/2008
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