| Gary Lacom DDS PA | |
|
603 Webster Corinth MS 38834 | |
| (662) 286-5991 | |
| Not Available |
| Full Name | Gary Lacom DDS PA |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 603 Webster, Corinth, Mississippi |
| Authorized Official Name and Position | Gary D Lacom (PRESIDENT DENTIST) |
| Authorized Official Contact | 6622865991 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gary Lacom DDS PA 603 Webster Corinth MS 38834 Ph: (662) 286-5991 | Gary Lacom DDS PA 603 Webster Corinth MS 38834 Ph: (662) 286-5991 |
| NPI Number | 1952522237 |
|---|---|
| Provider Enumeration Date | 05/02/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952522237 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 287795 (Mississippi) | Primary |
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