OrganizationActive
Compudoc
NPI 1306050323 · Dental Clinic/Center · Vicksburg, MS
Provider details
- NPI number
- 1306050323
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Lemont Norris, President(601) 638-7007
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
1713 Clay St
Suite 5
Vicksburg, MS 39183-3048
Phone: (601) 638-7007
Fax: (601) 638-0760
Approximate (ZIP-level) locationGet directions
Mailing address
1713 Clay St
Vicksburg, MS 39183-3048
Registry dates
- Enumerated
- 2007-05-09
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.