Provider Demographics
NPI:1669586327
Name:SEARD-HIGGINS, TARYON MICHELLE (DMD)
Entity type:Individual
Prefix:DR
First Name:TARYON
Middle Name:MICHELLE
Last Name:SEARD-HIGGINS
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1737 E ALEXANDER ST
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:MS
Mailing Address - Zip Code:38703-4402
Mailing Address - Country:US
Mailing Address - Phone:662-335-7129
Mailing Address - Fax:662-335-7121
Practice Address - Street 1:1737 E ALEXANDER ST
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:MS
Practice Address - Zip Code:38703-4402
Practice Address - Country:US
Practice Address - Phone:662-335-7129
Practice Address - Fax:662-335-7121
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-19
Last Update Date:2024-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS2838-94122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS00660081Medicaid