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Contact Information

ENDODONTIC ASSOCIATES, PLLC
301 NORTHLAKE AVE
SUITE 111
RIDGELAND, MS39157-1718
 Phone: 601-856-6364
 Fax: 601-856-7545
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for ENDODONTIC ASSOCIATES PLLC · (Female)

NPI # 1619005972
Status Active
Credentials
Entity Individual
Enumeration date 03/01/2007
Last updated 02/07/2013 - About 13 years ago
Sole proprietor 1 Not specified
Identifiers
  • MS License # ENDO 23993
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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