| Greggory E. Tharp DMD Inc | |
|
2695 Flowood Drive Flowood MS 39232 | |
| (601) 939-4100 | |
| (601) 939-4081 |
| Full Name | Greggory E. Tharp DMD Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2695 Flowood Drive, Flowood, Mississippi |
| Authorized Official Name and Position | Kim H. Davis (MEDICAL BILLER) |
| Authorized Official Contact | 6019394100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Greggory E. Tharp DMD Inc 2695 Flowood Drive Flowood MS 39232 Ph: (601) 939-4100 | Greggory E. Tharp DMD Inc 2695 Flowood Drive Flowood MS 39232 Ph: (601) 939-4100 |
| NPI Number | 1831377134 |
|---|---|
| Provider Enumeration Date | 02/08/2008 |
| Last Update Date | 11/06/2020 |
| Certification Date | 11/06/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831377134 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 331104 (Mississippi) | Secondary |
| 1223G0001X | Dentist - General Practice | () | Primary |
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