Healthcare Provider Details

I. General information

NPI: 1952348476
Provider Name (Legal Business Name): HUGH HENRY RATHER III DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 06/01/2006
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

113 S ALDERSON ST
HOLLY SPRINGS MS
38635-2931
US

IV. Provider business mailing address

PO BOX 70
HOLLY SPRINGS MS
38635-0070
US

V. Phone/Fax

Practice location:
  • Phone: 662-252-2313
  • Fax:
Mailing address:
  • Phone: 662-252-2313
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number2198-85
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: