Pierce, Caroll D

Pierce, Caroll D is an individual health care provider with primary practice located at 503 Main Street , Mt Olive MS 39119. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Pierce, Caroll D can be contacted via phone (601) 797-3466.

Contact Information

Primary practice address
503 Main Street Mt Olive MS 39119
Fax: (601) 797-3467
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 209784 Mississippi

Profile Details

NPI number 1447304324
LBN Legal business name Pierce, Caroll D
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 22nd, 2007
Last updated Jul 8th, 2007 - about 18 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 1447304324 NPPES
Mississippi MEDICAID 00060076

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