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Dr. Elise Burton Graham, DMD
General Practice Dentistry in Hattiesburg, Mississippi
NPI 1285999367

Elise Burton Graham is a General Practice Dentistry based in Hattiesburg, MS and is specialized in General Practice. Elise Burton Graham practices in Hattiesburg, MS and has the professional credentials of DMD. The NPI Number for Elise Burton Graham is 1285999367 and holds a License No. (Mississippi).

The current practice location address for Elise Burton Graham is 4301 Lincoln Rd, Hattiesburg, MS and can be reached out via phone at 601-582-2578.

Location: 4301 Lincoln Rd, Hattiesburg, MS, 39402-3036
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1285999367
Provider Name
Elise Burton Graham
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
4301 Lincoln Rd, Hattiesburg, MS, 39402-3036
Phone Number
601-582-2578
Fax Number
Provider Enumeration Date
07/05/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4301 Lincoln Rd
City
Hattiesburg
State
Mississippi
Zip
39402-3036
Phone Number
601-582-2578
Fax Number
person
Provider Business Mailing Address Details
Address
4301 Lincoln Rd
City
Hattiesburg
State
Mississippi
Zip
39402-3036
Phone Number
601-582-2578
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
3656-12 (Mississippi)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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