Duncan, William Keith

Duncan, William Keith is an individual health care provider with primary practice located at 2500 N. State St Pediatric Dentistry, Jackson MS 39216-4500. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Duncan, William Keith can be contacted via phone (601) 984-6100.

Contact Information

Primary practice address
2500 N. State St Pediatric Dentistry Jackson MS 39216-4500
Phone: (601) 984-6100
Fax: (601) 984-6103
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 2174-85 Mississippi

Profile Details

NPI number 1790719169
LBN Legal business name Duncan, William Keith
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated Jul 9th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790719169 NPPES
Mississippi MEDICAID 00060104

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