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Contact Information

JEANNA L AULTMAN, DMD
4556 HIGHWAY 589
SUMRALL, MS39482-3979
 Phone: 601-758-0150
 Fax: 601-758-0149
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for JEANNA L AULTMAN · (Female)

NPI Number 1326486499
Status Active
Credentials DMD (Doctor of Medical Dentistry)
Entity Individual
Enumeration date 06/11/2013
Last updated 06/11/2013 - About 13 years ago
Sole proprietor 1 Yes
Identifiers
  • MS License # 3690-13
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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