Community Dental Care,PA
Organization Active NPI Dentist · Hernando, MS
NPI 1326265679 · NPPES record last updated Dec 30, 2009
Key facts
- NPI
- 1326265679
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dentist 122300000X
- License
- 1821-78 (MS)
- Legal business name
- COMMUNITY DENTAL CARE,PA
- Practice address
- 165 W South St
Hernando, MS 38632-2269 - Phone
- (662) 449-3994
- NPI assigned
- Apr 19, 2007
- Organization subpart
- No
Authorized official
- Name
- Mrs. Shirley S Seymour
- Title
- Secretary
- Phone
- (662) 449-3994
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist |
122300000X | 1821-78 | MS | Yes |
Addresses
Primary practice location
165 W South St
Hernando, MS 38632-2269
Mailing address
165 W South St
Hernando, MS 38632-2269
Phone (662) 449-3994
Other providers in Hernando, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 30, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.