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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. EDMOND SHAUN MAYATTE, D.M.D.

Active Sole Proprietor

DR. EDMOND SHAUN MAYATTE, D.M.D. is a General Dentistry healthcare provider located in BRANDON, Mississippi. NPI 1063505840 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · BRANDON, MS

Registration Details

NPI Number
1063505840
Provider Type
Individual
Gender
Male
NPI Issued
Oct 2, 2006 (19.825069326017 yrs)
Last Updated
Jul 8, 2007
License
3156-00 (MS)
Sole Proprietor
Yes

Practice Information

Address
22 EASTGATE DR
BRANDON, MS, 390422318
Browse MS providers · Browse ZIP 39042
Phone
6018251105
Fax
6018251984
Primary Specialty
General Dentistry
1223G0001X

Other General Dentistry Providers in BRANDON, MS

Name Credential NPI
DR. HOWARD MARK STEVENS DDS 1497817662
DR. AMY WALLACE SHERMAN DMD 1801953302
DR. SUSANNE REYNOLDS MOORE DMD 1801930532
DR. KEITH M GIFFIN DDS MAGD 1053448449
DR. EDMUND WARREN MONTGOMERY III D.D.S. 1174651103
DR. VICTOR H. APPLEWHITE JR. D.M.D 1063545309
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.