NPI 1154422590

David Ray Braswell

Practitioner General Practice Dentistry Grenada, MS

Practice location

Address: 347 Tatum Ave, Grenada, MS 38901-4632
Phone: (662) 226-1681
Fax: (662) 226-1601

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 293396 (MS)

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Registry record

NPI: 1154422590
Entity type: Individual
Sex (as registered): Male
NPI issued: 26 Sep 2006
Record last updated: 14 Aug 2023

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.