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Contact Information

CLARENCE R AVERY, DDS
5106 TELEPHONE RD
PASCAGOULA, MS39567-1120
 Phone: 228-762-9123
 Fax: 228-762-9123
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for CLARENCE R AVERY · (Male)

NPI # 1487769055
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 08/21/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • MS License # 1819-78
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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