| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 440 North Lamar, Oxford, Mississippi |
| Authorized Official Name and Position | Ward Edwin Dawkins (OWNER GENERAL DENTIST) |
| Authorized Official Contact | 6622345725 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
440 North Lamar Oxford MS 38655 Ph: (662) 234-5725 | 440 North Lamar Oxford MS 38655 Ph: (662) 234-5725 |
| NPI Number | 1891875118 |
|---|---|
| Provider Enumeration Date | 10/17/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891875118 | NPI | - | NPPES |
| 467588 | Other | UNITED CONCORDIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 2668 (Mississippi) | Primary |
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