NPI 1003114547

Gulfcoast Dental Center

Organisation General Practice Dentistry Gulfport, MS

Practice location

Address: 3118 15th Street, Gulfport, MS 39501
Phone: (228) 863-6413
Mailing address: 3118 15th St, Gulfport, MS 39501-2708

Authorised official

Name: Roy Lee Irons
Title: Dentist
Phone: (228) 863-6413

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 1781-77 (MS)

Other Dentist providers in Mississippi →

Registry record

NPI: 1003114547
Entity type: Organization
NPI issued: 8 Mar 2011
Record last updated: 8 Mar 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.