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Heatherly Grissom, D.M.D
NPI 1699921965 · on the registry since 2008
Practice
- Address
- 1896 Main St
Suite B
Madison, MS 39110 - Phone
- (601) 898-9390
- Fax
- (601) 898-9395
- Organisation at this address
- Dental Care Of Madison
Southern Spine Family Chiropractic PllcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 5
Registry record
- Primary taxonomy
- General Practice Dentistry
1223G0001X
- Licence states on file
- MS
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2008-08-18
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