Organization
SHIELDS OROFACIAL PAIN AND DENTAL SLEEP
Active
Other names
MS Pain and Sleep
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WESLEY SHIELDS DMD (OWNER)
(601) 351-5651
Entity
Organization
Contact information
Practice address
504 KEYWOOD CIR STE A, FLOWOOD, MS 39232-3027
(601) 351-5651
(601) 351-9871
Mailing address
504 KEYWOOD CIR STE A, FLOWOOD, MS 39232-3027
(601) 351-5651
(601) 351-9871
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
02/04/2025
Last updated
02/04/2025
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