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Contact Information

GORDON E FLETCHER, DDS
1904 HARDY ST
HATTIESBURG, MS39401-4983
 Phone: 601-583-2250
 Fax: 601-583-2272
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
 

Pediatric Dentistry

1223P0221X
Indicates primary specialty

NPI Profile & details for GORDON E FLETCHER · (Male)

NPI Number 1255350369
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 07/19/2006
Last updated 07/16/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • LA License # 3515
  • LA License # PEDO3703
  • MS License # 3268-03
  • LA Medicaid 1835153
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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