Varnado, Dewanna Renee

Varnado, Dewanna Renee is an individual health care provider with primary practice located at 68 Old Airport Rd , Hattiesburg MS 39401-8382. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Varnado, Dewanna Renee can be contacted via phone (601) 583-4800.

Contact Information

Primary practice address
68 Old Airport Rd Hattiesburg MS 39401-8382
Fax: (601) 584-7769
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 2638-91 Mississippi

Profile Details

NPI number 1386812410
LBN Legal business name Varnado, Dewanna Renee
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 11th, 2008
Last updated Jul 7th, 2011 - about 14 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 1386812410 NPPES
Mississippi Other 1043492770 WINDSOR HEALTH GROUP
Mississippi MEDICAID 08130001 WINDSOR HEALTH GROUP
Mississippi Other 9728364 WINDSOR HEALTH GROUP
Mississippi Other 12252606 WINDSOR HEALTH GROUP

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