| D.e. Warren, Pllc | |
|
6668 Highway 98 West Suite G Hattiesburg MS 39402 | |
| (662) 213-0265 | |
| Not Available |
| Full Name | D.e. Warren, Pllc |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 6668 Highway 98 West, Hattiesburg, Mississippi |
| Authorized Official Name and Position | Derek Warren (OWNER) |
| Authorized Official Contact | 6622130265 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| D.e. Warren, Pllc 6668 Highway 98 West Suite G Hattiesburg MS 39402 Ph: () - | D.e. Warren, Pllc 6668 Highway 98 West Suite G Hattiesburg MS 39402 Ph: (662) 213-0265 |
| NPI Number | 1093546210 |
|---|---|
| Provider Enumeration Date | 08/09/2024 |
| Last Update Date | 08/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093546210 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | (* (Not Available)) | Primary |
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