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General NPI Number Information
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NPI Number | 1124201074
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Entity Type | Individual
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Provider Name | CHRISTY DRYDEN HEAD D.D.S.
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Gender | Female
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Dates
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Enumeration Date | 12/14/2007
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Last Update Date | 07/13/2019
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Provider Practice Location Address
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Address Line | 7117 US HWY 98 WEST SUITE 10
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City | HATTIESBURG
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State | MS
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Zip | 39402
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Country | US
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Telephone | 601-450-4320
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Fax | 601-450-4323
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Provider Business Mailing Address
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Address Line | 7117 U S HWY 98 WEST SUITE 10
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City | HATTIESBURG
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State | MS
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Zip | 39402
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Country | US
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Telephone | 601-450-4320
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Fax | 601-450-4323
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 3423-07
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License Number State | MS
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