NPI:
1790801298
Provider Name:
CATHERINE JOHNSON MINCY, DDS
Former Legal Business Name: CATHERINE JOHNSON MINCY, DDS
Classification:
Dentist - 1223G0001X
Entity Type:
Organization
Specialization: General Practice
Address:
607 W CHURCH ST
BOONEVILLE, MS
ZIP 38829
Phone:
(662) 728-8133
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CATHERINE JOHNSON MINCY, DDS is a general practice dentist in Booneville, 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. CATHERINE JOHNSON MINCY, DDS NPI is 1790801298. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Catherine Johnson Mincy, Dds.
The provider's business location address is:
607 W CHURCH ST
BOONEVILLE, MS
ZIP 38829-647
Phone: (662) 728-8133
Fax: (662) 728-6903
The provider's authorized official is Catherine Johnson Mincy .
The authorized official title is Owner and has the following contact phone number (662) 728-8133.
The enumeration date for this NPI number is 3/22/2007 and was last updated on 8/22/2020.