institution
Brent Thomas Dmd Pa
General Practice Dentistry in Vicksburg, Mississippi
NPI 1306190285

Brent Thomas Dmd Pa is a General Practice Dentistry based in Vicksburg, MS and is specialized in General Practice. Brent Thomas Dmd Pa practices in Vicksburg, MS. The NPI Number for Brent Thomas Dmd Pa is 1306190285 and holds a License No. 195381 (Mississippi).

The current practice location address for Brent Thomas Dmd Pa is 1805 Mission 66, Vicksburg, MS and can be reached out via phone at 601-638-2361 and via fax at 601-634-0864.

Location: 1805 Mission 66, Vicksburg, MS, 39180-3709
institution
Provider Profile Details
NPI Number
1306190285
Provider Name
Brent Thomas Dmd Pa
Credential
Provider Entity Type
Organization
Address
1805 Mission 66, Vicksburg, MS, 39180-3709
Phone Number
601-638-2361
Fax Number
601-634-0864
Provider Enumeration Date
10/31/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1649492695 01 MS NPI INDIVIDUAL
institution
Provider Business Practice Location Address Details
Address
1805 Mission 66
City
State
Zip
39180-3709
Phone Number
601-638-2361
Fax Number
601-634-0864
person
Provider Business Mailing Address Details
Address
1805 Mission 66
City
State
Zip
39180-3709
Phone Number
601-638-2361
Fax Number
601-634-0864
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
License No.
195381 (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.
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