DORMOIS & FUSON P.L.L.C. NPI 1639235963

NPI Information

DORMOIS & FUSON, P.L.L.C. is a pediatric dentistry dentist in Southaven, MS. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. DORMOIS & FUSON, P.L.L.C. NPI is 1639235963. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Pediatric Dental Group.

The provider's business location address is:

7734 AIRWAYS BLVD
SOUTHAVEN, MS
ZIP 38671-306
Phone: (662) 349-3838
Fax: (662) 349-5923

The provider's authorized official is Lori Orfans .
The authorized official title is Offc Mgr and has the following contact phone number (662) 349-3838.

The enumeration date for this NPI number is 12/29/2006 and was last updated on 2/23/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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