Liles, Antoinette
Liles, Antoinette is an individual health care provider with primary practice located at 190 Riverwind Dr Ste 201 , Pearl MS 39208-3387. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Liles, Antoinette can be contacted via phone (601) 882-5600.Contact Information
Primary practice address
190 Riverwind Dr Ste 201
Pearl MS 39208-3387
Phone: (601) 882-5600
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 3807-15 | Mississippi |
Profile Details
| NPI number | 1487035366 |
|---|---|
| LBN Legal business name | Liles, Antoinette |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 16th, 2015 |
| Last updated | Apr 28th, 2021 - about 5 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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