NPI 1053441733

Eleanor a Gill, DMD

Practitioner General Practice Dentistry Olive Branch, MS

Practice location

Address: 7271 Goodman Rd, Olive Branch, MS 38654-1906
Phone: (662) 895-4737
Fax: (662) 893-3239

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 2338-87 (MS)

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Registry record

NPI: 1053441733
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 Mar 2007
Record last updated: 8 Jul 2007

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.