Individual provider · Type 1 NPI

Mario E. Alfonso, DDS

General Practice Dentistry · Southaven, MS

NPI number 1225048911 Active

Practice location

7085 Swinnea Rd, Suite A
Southaven, MS 38671-6001

Call (662) 349-3038 Map

Fax (662) 349-3051

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XMS2062-84 (MS)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1225048911

Mario E. Alfonso, DDS's National Provider Identifier is 1225048911, issued on Aug 8, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Southaven, MS. The record was last updated on Jul 8, 2007.