Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MARY CATHERINE BLOSSOM, DMD
Active Sole ProprietorDR. MARY CATHERINE BLOSSOM, DMD is a Dentist healthcare provider located in MORTON, Mississippi. NPI 1477991552 is currently active in the NPPES registry. Verify at CMS.
Dentist · MORTON, MS
Registration Details
- NPI Number
- 1477991552
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 11, 2013 (13.14780533043 yrs)
- Last Updated
- Nov 13, 2014
- License
-
369913 (MS)
- Sole Proprietor
- Yes
Practice Information
- Address
-
233 WOODLAND STMORTON, MS, 391173711Browse MS providers · Browse ZIP 39117
- Phone
- 6017326200
- Fax
- 6016326624
- Primary Specialty
-
Dentist
122300000X
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.