NPI 1467522565

John Henry Coleman, DMD

Practitioner Dentist Grenada, MS

Practice location

Address: 1162 S Line St, Grenada, MS 38901-4239
Phone: (662) 226-0585
Fax: (662) 226-0586

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X Licence 196682 (MS)

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Registry record

NPI: 1467522565
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 Nov 2006
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.