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Contact Information

HUMPHREYS DENTAL, LLC
444 SHELBY SPEIGHTS DRIVE
PURVIS, MS39475
 Phone: 601-794-8115
 Fax: 601-794-8115
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for HUMPHREYS DENTAL LLC · (Female)

NPI Number 1104151265
Status Active
Credentials
Entity Individual
Enumeration date 10/07/2009
Last updated 10/07/2009 - About 17 years ago
Sole proprietor 1 Not specified
Identifiers
  • MS License # 3329-05
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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