Dr. John Herman Mitchell Jr., DDS
Dentist, General Practice in Simmesport, LA. Individual provider (NPI-1).
NPI number1790798601
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1790798601
- Entity type
- Individual (NPI-1)
- Name
- Dr. John Herman Mitchell Jr.
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 14, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 3440 | LA | Yes |
Practice location
352 Mission DriveSimmesport, LA 71369
Phone 318-941-2071 · Fax 318-941-2629
Mailing address
Po Box 130352 Mission Drive
Simmesport, LA 71369
Phone 318-941-2071 · Fax 318-941-2629
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