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Randy S Hathorn, DMD
General Practice Dentistry in Bassfield, Mississippi
NPI 1912018748

Randy S Hathorn is a General Practice Dentistry based in Bassfield, MS and is specialized in General Practice. Randy S Hathorn practices in Bassfield, MS and has the professional credentials of DMD. The NPI Number for Randy S Hathorn is 1912018748 and holds a License No. 2016 83 (Mississippi).

The current practice location address for Randy S Hathorn is 218 A Gen Robert E Blount Dr, Bassfield, MS and can be reached out via phone at 601-943-5426 and via fax at 601-943-6143.

Location: 218 A Gen Robert E Blount Dr, Bassfield, MS, 39421-0549
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912018748
Provider Name
Randy S Hathorn
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
218 A Gen Robert E Blount Dr, Bassfield, MS, 39421-0549
Phone Number
601-943-5426
Fax Number
601-943-6143
Provider Enumeration Date
08/31/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00060050 05 MS
institution
Provider Business Practice Location Address Details
Address
218 A Gen Robert E Blount Dr
City
Bassfield
State
Mississippi
Zip
39421-0549
Phone Number
601-943-5426
Fax Number
601-943-6143
person
Provider Business Mailing Address Details
Address
218 A Gen Robert E Blount Dr
City
Bassfield
State
Mississippi
Zip
39421-0549
Phone Number
601-943-5426
Fax Number
601-943-6143
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
2016 83 (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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