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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

NPI # 1104151265
LBN Legal business name HUMPHREYS DENTAL, LLC
Authorized official MICHAEL HUMPHREYS - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/07/2009
Last updated 10/07/2009 - About 17 years ago
Identifiers
MS License # 3329-05
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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