NPI 1447512728

Cary Christian Dental Clinic

Organisation Dental Laboratory Cary, MS

Practice location

Address: 154 Cottonwood St., Cary, MS 39054
Phone: (662) 873-4593
Mailing address: PO Box 57, Cary, MS 39054-0057

Authorised official

Name: Ollie Hardaway
Title: Dentist
Phone: (601) 529-5196

Registered specialties

Dental Laboratory Primary

Laboratories Taxonomy 292200000X Licence 1801-78 (MS)

Other Dental Laboratory providers in Mississippi →

Registry record

NPI: 1447512728
Entity type: Organization
NPI issued: 12 Jun 2012
Record last updated: 12 Jun 2012

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.