Search › Mississippi › 122300000X
Mary Blossom, DMD
NPI 1477991552 · on the registry since 2013 · sole proprietor
Practice
- Address
- 233 Woodland St
Morton, MS 39117 - Phone
- (601) 732-6200
- Fax
- (601) 632-6624
- Organisation at this address
- Ross Dental Clinic P.C.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- MS
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2014-11-13
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