Potts, Denessa V
Potts, Denessa V is an sole proprietor health care provider with primary practice located at 1668 W Peace St , Canton MS 39046-5332. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Potts, Denessa V can be contacted via phone (601) 859-5213.Contact Information
Primary practice address
1668 W Peace St
Canton MS 39046-5332
Phone: (601) 859-5213
Fax: (601) 859-9477
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 3314-04 | Mississippi |
Profile Details
| NPI number | 1154401172 |
|---|---|
| LBN Legal business name | Potts, Denessa V |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 16th, 2006 |
| Last updated | Apr 8th, 2019 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154401172 | NPPES |
| Mississippi | MEDICAID | 03588521 |
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