NPI 1275629164

Daniel James Patti, DMD

Practitioner General Practice Dentistry Brookhaven, MS

Practice location

Address: 439 N Jackson St STE E, Brookhaven, MS 39601-2912
Phone: (601) 833-0777
Fax: (601) 833-6606
Mailing address: 103 Noble Dr, Brookhaven, MS 39601-3623

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 2095-84 (MS)

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Registry record

NPI: 1275629164
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Oct 2006
Record last updated: 15 Nov 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.