| Brad Holifield, D.m.d., P.a. | |
|
3221 Audubon Dr Laurel MS 39440-1422 | |
| (601) 649-3900 | |
| (601) 518-7860 |
| Full Name | Brad Holifield, D.m.d., P.a. |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 3221 Audubon Dr, Laurel, Mississippi |
| Authorized Official Name and Position | Brad Holifield (DOCTOR / PRESIDENT) |
| Authorized Official Contact | 6015772723 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brad Holifield, D.m.d., P.a. 3221 Audubon Dr Laurel MS 39440-1422 Ph: (601) 649-3900 | Brad Holifield, D.m.d., P.a. 3221 Audubon Dr Laurel MS 39440-1422 Ph: (601) 649-3900 |
| NPI Number | 1780764902 |
|---|---|
| Provider Enumeration Date | 10/16/2006 |
| Last Update Date | 04/06/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780764902 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | PER-201-87 (Mississippi) | Primary |
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