Philip Adam Middleton, DMD Valid NPI

Individual provider · General Practice Dentistry · Kosciusko, MS

NPI

1366603003

Type

Individual (Type 1)

Primary specialty

General Practice Dentistry (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223G0001X

License number

347008 (MS)

Sex

Male

Sole proprietor

No

Enumerated

2008-06-24

Last updated

2011-01-03