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Contact Information

JUSTIN L DYRE, DMD
1075 LAKE VILLAGE CIR
BRANDON, MS39047-6743
 Phone: 601-992-1605
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for JUSTIN L DYRE · (Male)

NPI # 1588926570
Status Active
Credentials DMD (Doctor of Medical Dentistry)
Entity Individual
Enumeration date 06/14/2012
Last updated 05/16/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • MS License # 3634
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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