Search › Mississippi › 1223X0400X
Shane Radford, DMD
NPI 1174246425 · on the registry since 2022
Practice
- Address
- 2925 Nail Rd E Ste 2
Southaven, MS 38672 - Phone
- (662) 536-3661
- Organisation at this address
- North Mississippi Dental Specialists, Pllc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 1223X0400X
1223X0400X
- Licence states on file
- TN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-09-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi