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Contact Information

EDGAR D BARHAM JR, DMD
3550 HIGHWAY 468 W
PEARL, MS39208-5529
 Phone: 601-351-8000
 Fax: 601-351-8301
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for EDGAR D BARHAM JR · (Male)

NPI # 1639108897
Status Active
Credentials DMD (Doctor of Medical Dentistry)
Entity Individual
Enumeration date 07/01/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • MS License # 2778-95
  • MS Medicaid 04400322
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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