Norris, Lemont Terrance

Norris, Lemont Terrance is an individual health care provider with primary practice located at 1713 Clay St Ste 5, Vicksburg MS 39183-3048. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Norris, Lemont Terrance can be contacted via phone (601) 638-7007.

Contact Information

Primary practice address
1713 Clay St Ste 5 Vicksburg MS 39183-3048
Phone: (601) 638-7007
Fax: (601) 638-0760
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 2864-95 Mississippi

Profile Details

NPI number 1891812731
LBN Legal business name Norris, Lemont Terrance
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2007
Last updated Jul 8th, 2007 - about 19 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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Identifiers

StateTypeNumberIssuer
All States NPI 1891812731 NPPES
Mississippi Other 818510 UNITED CONCORDIA
Mississippi MEDICAID 00660173 UNITED CONCORDIA

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