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DR. STEPHANIE PHILLIPS DUNGEY DMD

Pediatric Dentistry

Clinton, Mississippi

Provider NPI: 1114025772

Provider Information:
DR. STEPHANIE PHILLIPS DUNGEY DMD
Gender: F
Not Sole Proprietor

Practice Location:
539A HIGHWAY 80 W  CLINTON, MS 39056 US
Tel: 601-924-4900  Fax: --

Business Mailing Address:
539A HIGHWAY 80 W  CLINTON, MS 39056 US
Tel: 601-924-4900  Fax: --

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223P0221XDental Providers
Dentist
Pediatric Dentistry
MSPEDO-390-05

Other Provider Identifiers:

IssuerNumberStateType
00088038MS05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin



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