Dungey, Stephanie Phillips

Dungey, Stephanie Phillips is an individual health care provider with primary practice located at 539A Highway 80 W , Clinton MS 39056-4193. She recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as her primary health care specialty. Dungey, Stephanie Phillips can be contacted via phone (601) 924-4900.

Contact Information

Primary practice address
539A Highway 80 W Clinton MS 39056-4193
Phone: (601) 924-4900
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X PEDO-390-05 Mississippi

Profile Details

NPI number 1114025772
LBN Legal business name Dungey, Stephanie Phillips
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated Jul 8th, 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 1114025772 NPPES
Mississippi MEDICAID 00088038

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