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Prof. Clyde Armstrong Musgrave, DMD
Pediatric Dentist in Southaven, Mississippi
NPI 1194825299

Clyde Armstrong Musgrave is a Pediatric Dentist based in Southaven, MS and is specialized in Pediatric Dentistry. Clyde Armstrong Musgrave practices in Southaven, MS and has the professional credentials of DMD. The NPI Number for Clyde Armstrong Musgrave is 1194825299 and holds a License No. 3136-00 (Mississippi).

The current practice location address for Clyde Armstrong Musgrave is 3964 Goodman Rd E Ste 128, Southaven, MS and can be reached out via phone at 662-893-7337 and via fax at 662-893-7881.

Location: 3964 Goodman Rd E Ste 128, Southaven, MS, 38672-6620
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Provider Profile Details
NPI Number
1194825299
Provider Name
Clyde Armstrong Musgrave
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
3964 Goodman Rd E Ste 128, Southaven, MS, 38672-6620
Phone Number
662-893-7337
Fax Number
662-893-7881
Provider Enumeration Date
09/25/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00660434 05 MS
institution
Provider Business Practice Location Address Details
Address
3964 Goodman Rd E Ste 128
City
State
Zip
38672-6494
Phone Number
662-893-7337
Fax Number
662-893-7881
person
Provider Business Mailing Address Details
Address
3964 Goodman Rd E Ste 128
City
State
Zip
38672-6494
Phone Number
662-893-7337
Fax Number
662-893-7881
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
License No.
3136-00 (Mississippi)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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