IndividualActive
Edgar Donahoe, DMD
NPI 1477073278 · Dentist · Indianola, MS
Provider details
- NPI number
- 1477073278
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 3921-17 (MS)
Specialties & taxonomies
Dental Providers
Practice location
501 Park Ave
Indianola, MS 38751-2355
Phone: (662) 887-1272
Approximate (ZIP-level) locationGet directions
Mailing address
501 Park Ave
Indianola, MS 38751-2355
Registry dates
- Enumerated
- 2017-06-22
- Last updated
- 2018-06-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.