NPI 1104108612

Austin Poole, DMD, PLLC

Organisation Dentist Clarksdale, MS

Practice location

Address: 705 S Choctaw St, Clarksdale, MS 38614-4810
Phone: (662) 627-7324
Fax: (662) 627-7325
Mailing address: 705 Choctaw South, Clarksdale, MS 38614

Authorised official

Name: Austin Poole
Title: Owner
Phone: (662) 627-7324

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X Licence 3239-02 (MS)

Other Dentist providers in Mississippi →

Registry record

NPI: 1104108612
Entity type: Organization
NPI issued: 12 Sep 2011
Record last updated: 12 Sep 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.