Graham, Elise Burton

Graham, Elise Burton is an sole proprietor health care provider with primary practice located at 4301 Lincoln Rd Suite 10, Hattiesburg MS 39402-3036. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / General Practice. Dental Providers / General Practice is her primary health care specialty. Graham, Elise Burton can be contacted via phone (601) 582-2578.

Contact Information

Primary practice address
4301 Lincoln Rd Suite 10 Hattiesburg MS 39402-3036
Phone: (601) 582-2578
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Dental Providers / General Practice 1223G0001X 3656-12 Mississippi

Profile Details

NPI number 1285999367
LBN Legal business name Graham, Elise Burton
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 5th, 2012
Last updated Jan 28th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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