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NPI Code Detail

MEDICARE: DR. W. DEAN CHOW

MEDICARE: DR. W. DEAN CHOW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry1708MS

General Provider Information

NPI Number : 1891836987
Entity Type Code : Organization
Provider Name (Legal Business Name) : DR. W. DEAN CHOW
Provider Business Mailing Address
First Line : 1821 5TH ST N
Second Line :
City : COLUMBUS
State : MS
Zip : 39705-2203
Country : US
Telephone Number : 662-328-5411
Fax Number : 662-328-1775
Provider Business Practice Location Address
First Line : 1821 5TH ST N
Second Line :
City : COLUMBUS
State : MS
Zip : 39705-2203
Country : US
Telephone Number : 662-328-5411
Fax Number : 662-328-1775
Authorized Official
Title or Position : PRESIDENT
Name : DR. W. DEAN CHOW
Credential : D.D.S., P.A.
Telephone Number : 662-328-5411
Provider Enumeration Date : 02/09/2007
Last Update Date : 08/14/2014

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