Provider Demographics
NPI:1235338971
Name:JULIUS, QUINTIN TODD (DDS)
Entity Type:Individual
Prefix:DR
First Name:QUINTIN
Middle Name:TODD
Last Name:JULIUS
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6745 S SIWELL RD STE 210
Mailing Address - Street 2:
Mailing Address - City:BYRAM
Mailing Address - State:MS
Mailing Address - Zip Code:39272-8746
Mailing Address - Country:US
Mailing Address - Phone:601-371-8634
Mailing Address - Fax:
Practice Address - Street 1:6745 S SIWELL RD STE 210
Practice Address - Street 2:
Practice Address - City:BYRAM
Practice Address - State:MS
Practice Address - Zip Code:39272-8746
Practice Address - Country:US
Practice Address - Phone:601-371-8634
Practice Address - Fax:601-371-8724
Is Sole Proprietor?:No
Enumeration Date:2007-07-12
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS3445-07122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist