NPI 1124599105

Fdc of Laurel LLC

Organisation General Practice Dentistry Laurel, MS

Practice location

Address: 1532 W 15th St, Laurel, MS 39440-2102
Phone: (601) 428-0082
Mailing address: PO Box 6505, Laurel, MS 39441-6505

Authorised official

Name: Shelley S. Taylor
Title: Owner/Dentist
Phone: (601) 428-0082

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X

Other Dentist providers in Mississippi →

Registry record

NPI: 1124599105
Entity type: Organization
NPI issued: 17 Dec 2018
Record last updated: 17 Dec 2018

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.