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Dr. Tracey Lamar Douglas, DMD
General Practice Dentistry in Madison, Mississippi
NPI 1881751584

Tracey Lamar Douglas is a General Practice Dentistry based in Madison, MS and is specialized in General Practice. Tracey Lamar Douglas practices in Madison, MS and has the professional credentials of DMD. The NPI Number for Tracey Lamar Douglas is 1881751584 and holds a License No. 3035-98 (Mississippi).

The current practice location address for Tracey Lamar Douglas is 204 Waterford Sq, Madison, MS and can be reached out via phone at 601-856-3182 and via fax at 601-856-9120.

Location: 204 Waterford Sq, Madison, MS, 39110-6856
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1881751584
Provider Name
Tracey Lamar Douglas
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
204 Waterford Sq, Madison, MS, 39110-6856
Phone Number
601-856-3182
Fax Number
601-856-9120
Provider Enumeration Date
01/02/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
204 Waterford Sq
City
Madison
State
Mississippi
Zip
39110-6856
Phone Number
601-856-3182
Fax Number
601-856-9120
person
Provider Business Mailing Address Details
Address
204 Waterford Sq
City
Madison
State
Mississippi
Zip
39110-6856
Phone Number
601-856-3182
Fax Number
601-856-9120
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
3035-98 (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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