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MR. BRETT A VALENTINE DMD

General Practice >> Dentist >> Dental Providers

Registrant NPI Number: 1396844734

Individual Registrant:
MR. BRETT A VALENTINE DMD
Gender: M
Not Sole Proprietor

Location and contact information for practice:
4864 B HWY 589  SUMRALL, MS 39482 US
Tel: 601-758-0150  Fax: 601-758-0149

Contact information for business:
PO BOX 469  SUMRALL, MS 39482 US
Tel: 601-758-0150  Fax: 601-758-0149

Registration Information:
NPI: 1396844734
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223G0001XDental Providers
Dentist
General Practice
MS2752 93

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
00660280MS05
UNITED CONCORDIA87347601




HEALTH CARE JOBS MS - Page 1



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