Organization
ADAM WEEMS D.M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK ADAM WEEMS D.M.D. (OWNER)
(662) 453-6243
Entity
Organization
Contact information
Practice address
1705 STRONG AVE, SUITE A, GREENWOOD, MS 38930-3923
(662) 453-6243
Mailing address
1705 STRONG AVE, SUITE A, GREENWOOD, MS 38930-3923
(662) 453-6243
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3107-99
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00660430
—
MS
Enumeration date
07/20/2006
Last updated
08/22/2020
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