| Humphreys Dental, Llc | |
|
444 Shelby Speights Drive Purvis MS 39475 | |
| (601) 794-8115 | |
| (601) 794-8115 |
| Full Name | Humphreys Dental, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 444 Shelby Speights Drive, Purvis, Mississippi |
| Authorized Official Name and Position | Michael Chandler Humphreys (OWNER) |
| Authorized Official Contact | 6017948115 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Humphreys Dental, Llc 444 Shelby Speights Drive Purvis MS 39475 Ph: (601) 794-8115 | Humphreys Dental, Llc 444 Shelby Speights Drive Purvis MS 39475 Ph: (601) 794-8115 |
| NPI Number | 1104151265 |
|---|---|
| Provider Enumeration Date | 10/07/2009 |
| Last Update Date | 10/07/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104151265 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 3329-05 (Mississippi) | Primary |
Terrace Hill Dental Center Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 271 Hwy 589, Purvis, MS 39475 Phone: 601-264-5756 |