NPI: 1518093962
Provider Name: DE SOTO SMILES FAMILY DENTISTRY
Former Legal Business Name: CHARLES E. HARBISON DDS, PA
Classification: Dentist - 1223G0001X
Entity Type: Organization
Specialization: General Practice
Address:
730 GOODMAN ROAD EAST
SUITE A
SOUTHAVEN, MS
ZIP 38671
Phone: (662) 349-2351
Get Directions
DE SOTO SMILES FAMILY DENTISTRY is a general practice dentist in Southaven, MS. The provider is 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. DE SOTO SMILES FAMILY DENTISTRY NPI is 1518093962. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Charles E. Harbison Dds, Pa.
The provider's business location address is:
730 GOODMAN ROAD EAST
SUITE A
SOUTHAVEN, MS
ZIP 38671-530
Phone: (662) 349-2351
Fax: (662) 349-2416
The provider's authorized official is John George Kakales .
The authorized official title is Dentist and has the following contact phone number (662) 943-2351.
The enumeration date for this NPI number is 2/27/2007 and was last updated on 12/13/2018.