| D H Halliwell Jr Dds Pa | |
|
314 South 25th Avenue Hattiesburg MS 39401-7399 | |
| (601) 545-8615 | |
| (601) 545-8616 |
| Full Name | D H Halliwell Jr Dds Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 314 South 25th Avenue, Hattiesburg, Mississippi |
| Authorized Official Name and Position | David H Halliwell (PRESIDENT OWNER) |
| Authorized Official Contact | 6015458615 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| D H Halliwell Jr Dds Pa 314 South 25th Avenue Hattiesburg MS 39401-7399 Ph: (601) 545-8615 | D H Halliwell Jr Dds Pa 314 South 25th Avenue Hattiesburg MS 39401-7399 Ph: (601) 545-8615 |
| NPI Number | 1093981987 |
|---|---|
| Provider Enumeration Date | 05/01/2008 |
| Last Update Date | 05/01/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093981987 | NPI | - | NPPES |
| 735590 | Other | PA | UNITED CONCORDIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 180078 (Mississippi) | Primary |
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