Individual
RYAN ANDREW HIGGINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
101 N INDUSTRIAL RD, TUPELO, MS 38801-3441
(662) 680-3383
Mailing address
92 MAIN ST, TARRYTOWN, NY 10591-7658
(713) 748-9367
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4420-23
MS
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/09/2023
Last updated
10/19/2023
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