Cary Christian Center
Organization Active NPI General Practice Dentistry · Cary, MS
NPI 1891812285 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1891812285
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- Legal business name
- CARY CHRISTIAN CENTER
- Practice address
- 154 Cottonwood
Cary, MS 39054 - Phone
- (662) 873-4593
- Fax
- (662) 873-4112
- NPI assigned
- Mar 23, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Ollie Hardaway Jr., D.D.S.
- Title
- Dentist
- Phone
- (662) 873-4593
Corporate family (same tax ID) 1
National Provider Directory
- Tax ID family
- Cary Christian Center
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | Yes |
Addresses
Primary practice location
154 Cottonwood
Cary, MS 39054
Mailing address
154 Cottonwood
P.O. Box 57
Cary, MS 39054
Phone (662) 873-4593
Other names
- Cary Dental Clinic
Other providers in Cary, MS
All providers in Cary, MS · General Practice Dentistry in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. 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.