Organization
MICHAEL W HUBBERT DMD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL WAYNE HUBBERT DMD (MANAGING PARTNER)
(601) 776-3370
Entity
Organization
Contact information
Practice address
99 HIGHWAY 511, QUITMAN, MS 39355-8899
(601) 776-3370
(601) 776-3373
Mailing address
99 HIGHWAY 511, QUITMAN, MS 39355-8899
(601) 776-3370
(601) 776-3373
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00060139
—
MS
Enumeration date
12/04/2018
Last updated
12/04/2018
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