Dr. Chandra M. Minor, D.M.D.
Dentist, Orthodontics and Dentofacial Orthopedics in Hazlehurst, MS. Individual provider (NPI-1).
NPI number1548690688
StatusActive
Last updated in NPPESOct 8, 2018
Details
- NPI
- 1548690688
- Entity type
- Individual (NPI-1)
- Name
- Dr. Chandra M. Minor
- Credential
- D.M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 26, 2013
- Last updated
- Oct 8, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223X0400X | Dentist, Orthodontics and Dentofacial Orthopedics | OR-484-14 | MS | Yes |
| 122300000X | Dentist | 3651-12 | MS |
Practice location
1047 W Gallman RdHazlehurst, MS 39083-9452
Phone 601-955-7844
Mailing address
201 Riverwind DrPearl, MS 39208-5653
Phone 601-965-9561
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