BOONEVILLE GENERAL DENTISTRY, P.A. 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. BOONEVILLE GENERAL DENTISTRY, P.A. NPI is 1881073716. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
507 E CHURCH ST
BOONEVILLE, MS
ZIP 38829-709
Phone: (662) 728-2123
Fax: (662) 728-1748
The provider's authorized official is Samuel Robert Hall .
The authorized official title is Pres and has the following contact phone number (662) 728-2123.
The CLIA number assigned to this NPI record is 25D0317025 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 5/26/2015 and was last updated on 5/26/2015.