Victor H. Applewhite Jr., D.M.D

Individual provider Active NPI General Practice Dentistry · Brandon, MS

NPI 1063545309 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1063545309
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
1918-81 (MS)
Practice address
555 Grants Ferry Rd
Brandon, MS 39047-9023
Phone
(601) 992-1371
Fax
(601) 992-1382
NPI assigned
Mar 14, 2007
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
1918-81MSMDGeneral Practice Dentistry

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 1918-81 MS Yes

Addresses

Primary practice location

555 Grants Ferry Rd
Brandon, MS 39047-9023

Mailing address

555 Grants Ferry Rd
Brandon, MS 39047-9023
Phone (601) 992-1371

Other providers in Brandon, MS

All providers in Brandon, MS · General Practice Dentistry in Mississippi

Sources for this page

Verify at the official NPI Registry.