Grissom, Heatherly Henson
Grissom, Heatherly Henson is an individual health care provider with primary practice located at 1896 Main St Suite B, Madison MS 39110-7676. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Grissom, Heatherly Henson can be contacted via phone (601) 898-9390.Contact Information
Primary practice address
1896 Main St Suite B
Madison MS 39110-7676
Phone: (601) 898-9390
Fax: (601) 898-9395
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 3228-02 | Mississippi |
Profile Details
| NPI number | 1699921965 |
|---|---|
| LBN Legal business name | Grissom, Heatherly Henson |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 18th, 2008 |
| Last updated | Aug 18th, 2008 - about 16 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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