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Contact Information

GARNER NICHOLS DENTAL PLLC
4127 LINCOLN ROAD
HATTIESBURG, MS39402
 Phone: 012-717-3006
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
 

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for GARNER NICHOLS DENTAL PLLC

NPI Number 1508267691
LBN Legal business name GARNER NICHOLS DENTAL PLLC
Authorized official PATTY TOUPS - (ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 09/09/2014
Last updated 03/19/2024 - About 2 years ago
Identifiers
MS Medicaid 04436509
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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